Brandon Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0884 Issued in AL

Legal business name

BRANDON CLINIC LLC

Doing business as

Brandon Clinic of Chiropractic

Practice address

600 Main St Ste 107
Gardendale, AL 35071-3649

Phone

(205) 631-8808

Fax

(205) 631-8832

NPI assigned

Dec 28, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald David Brandon, DC

Title

Manager Owner Pres

Phone

(205) 631-8808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brandon Clinic of Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grayson Keith Phillips, D.C.

  • Chiropractor
  • Gardendale, AL
  • NPI 1497100010
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1467518217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "address_2": "600 MAIN STREET SUITE 107",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350711043",
            "telephone_number": "205-631-8808",
            "fax_number": "205-631-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST STE 107",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713649",
            "telephone_number": "205-631-8808",
            "fax_number": "205-631-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER OWNER PRES",
        "authorized_official_telephone_number": "205-631-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "0884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51096028",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda Bledsoe
• Tia Boglin
• Kimberly Bonds, P.T.A.
• James R Boogaerts, MD
• Candace D Boyd, PA
• Brandy N. Stewart, D.M.D, L.L.C. (Stewart Family Dentistry)
• Joseph William Brewer, DO
• Edward Bromberg, MD
• James Brooks, NP
• Michael Brooks Jr.

• Chiropractor in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.