Keith Manning Brassfield, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

0104557272 Issued in VA

Practice address

552 Fort Evans Rd Ste 306
Leesburg, VA 20176-3378

Phone

(703) 771-3204

Fax

(703) 771-3204

NPI assigned

May 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrative Health and Wellness LLC

  • Chiropractor
  • Leesburg, VA
  • NPI 1578309100
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1467807867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD STE 306",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "703-771-3204",
            "fax_number": "703-771-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD STE 306",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "703-771-3204",
            "fax_number": "703-771-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSFIELD",
        "first_name": "KEITH",
        "middle_name": "MANNING",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104557272",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Robinson Brabender, M.D.
• Jeanelle Marie Bradshaw, D.C.
• Akshar Ashok Brahmbhatt, RPH
• Bryanne Brandt, MSORT/L
• Jan Julius Brandt
• Jessica Braun, NP
• Evelyn Sharon Braunfeld, LCSW
• Craig Cameron Brawley, MD
• Terri C Braxton
• Bre Enterprises, LLC

• Rehabilitation Chiropractor in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Rehabilitation Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.