Active NPI
Brandon David Schroeder, D.C.
- Chiropractor
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34816
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1290 | SD | MD | Physical Therapist |
| 34816 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schroeder Chiropractic | Chiropractor | Current | Accepting new patients |
| Rxwellness Spine & Health - Aldie South Riding LLC | Chiropractor | Current | Accepting new patients |
| Bridges Chiropractic, Inc | Chiropractor | Past | 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.
-
- Chiropractor
- Aldie, VA
- NPI 1265267694
-
- Chiropractor
- Los Angeles, CA
- NPI 1750087953
-
- Chiropractor
- Sioux Falls, SD
- NPI 1801166889
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.