Individual provider Active NPI

Brandon Stuart Cazer, DC

  • Chiropractor
  • Mitchell, SD
National Provider Identifier
1487646089
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1064 Issued in SD
Practice address
501 W Havens St
Mitchell, SD 57301-4334
Phone
(605) 996-1078
Fax
(605) 996-3703
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1064 SD Primary

Addresses

Primary practice location

501 W Havens St
Mitchell, SD 57301-4334

Mailing address

501 W Havens St
Mitchell, SD 57301-4334
Phone (605) 996-1078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000513 SD Practitioner - Chiropractic 6305878976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell Chiropractic and Acupuncture Center, P.C.Group PAC ID 0143211466, 2 clinicians

Practice addresses (Care Compare)

501 W Havens Ave
Mitchell, SD 57301-4366
Phone (605) 996-1078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1064SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Chiropractic & Acupuncture Center, P.C. Chiropractor CurrentSince Aug 18, 2005 Accepting new patients

Locations

501 W Havens Ave
Mitchell, SD 57301
Phone (605) 996-1078

Organizations & group practices 1

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1487646089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W HAVENS ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014334",
            "telephone_number": "605-996-1078",
            "fax_number": "605-996-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W HAVENS ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014334",
            "telephone_number": "605-996-1078",
            "fax_number": "605-996-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZER",
        "first_name": "BRANDON",
        "middle_name": "STUART",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.