Individual provider Active NPI

Brandon David Schroeder, D.C.

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1437509536
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34816 Issued in CA
Practice address
2812 Santa Monica Blvd Ste 208
Santa Monica, CA 90404-2432
Phone
(310) 844-5502
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1290 SD
Chiropractor 111N00000X 34816 CA Primary

Addresses

Primary practice location

2812 Santa Monica Blvd Ste 208
Santa Monica, CA 90404-2432

Mailing address

2812 Santa Monica Blvd Ste 208
Santa Monica, CA 90404-2432
Phone (310) 844-5502

Other practice location 1

5015 S Western Ave
Suite 160
Sioux Falls, SD 57108-2642
Phone (605) 271-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521000715 VA Practitioner - Chiropractic 0244687697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Rxwellness Spine and Health - Aldie South Riding LLCGroup PAC ID 8820514755, 5 clinicians

Practice addresses (Care Compare)

24600 Millstream Dr
Suite 360
Aldie, VA 20105-5686
Phone (571) 665-4746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1290SDMDPhysical Therapist
34816CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schroeder Chiropractic Chiropractor Current Accepting new patients
Rxwellness Spine & Health - Aldie South Riding LLC Chiropractor CurrentSince Mar 9, 2025 Accepting new patients
Bridges Chiropractic, Inc Chiropractor PastSince Feb 13, 2012 Accepting new patients

Locations

950 Herndon Pkwy
Ste 130
Herndon, VA 20170
Phone (703) 272-5402

24600 Millstream Dr
Ste 360
Stone Ridge, VA 20105
Phone (571) 487-7786

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1437509536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 SANTA MONICA BLVD STE 208",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042432",
            "telephone_number": "310-844-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 SANTA MONICA BLVD STE 208",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042432",
            "telephone_number": "310-844-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5015 S Western Ave",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571082642",
            "country_code": "US",
            "telephone_number": "605-271-8060",
            "fax_number": "605-271-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "BRANDON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1290",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.