Individual provider Active NPI

Brandi Porter

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1477363257
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008894 Issued in CO
Practice address
9137 E Mineral Cir Ste 140
Centennial, CO 80112-3422
Phone
(303) 847-0905
NPI assigned
Jan 13, 2025
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008894 CO Primary

Addresses

Primary practice location

9137 E Mineral Cir Ste 140
Centennial, CO 80112-3422

Mailing address

16658 E 101St Ave
Commerce City, CO 80022-8878
Phone (505) 573-4246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422000524 CO Practitioner - Chiropractic 9234654385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008894COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Life Chiropractic LLC Chiropractor CurrentSince Sep 21, 2025 Accepting new patients
5280 Balanced Health Center LLC Chiropractor CurrentSince Feb 15, 2025 Accepting new patients

Locations

9137 E Mineral Cir
Ste 140
Centennial, CO 80112
Phone (303) 847-0905

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1477363257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16658 E 101ST AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800228878",
            "telephone_number": "505-573-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 E MINERAL CIR STE 140",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123422",
            "telephone_number": "303-847-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.