Brandon Integrated Healthcare Clinics Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6328 Issued in FL

Legal business name

BRANDON INTEGRATED HEALTHCARE CLINICS INC

Practice address

804 W Bloomingdale Ave
Brandon, FL 33511-7778

Phone

(813) 685-5200

Fax

(813) 654-8758

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By 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. Carolyn J Gendreau, D.C.NPI 1407918097

Title

President

Phone

(813) 685-5200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Carolyn Jean Gendreau, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1407918097
  NPD (past) Authorized official
• Wanda Ivelisse Nieves-Moreno, D.C.

  • Chiropractor
  • Brandon, FL
  • NPI 1891780037
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487706438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117778",
            "telephone_number": "813-685-5200",
            "fax_number": "813-654-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117778",
            "telephone_number": "813-685-5200",
            "fax_number": "813-654-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON INTEGRATED HEALTHCARE CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENDREAU",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-685-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Family Medical Care PA
• Brandon Health Care Associates LLC (Brandon Health and Rehabilitation Center)
• Brandon Health Opco, LLC (Brandon Center for Nursing & Rehabilitation)
• Brandon Home Care LLC (Home Instead)
• Brandon Home Care LLC (Home Instead)
• Brandon Integrative Health LLC
• Brandon Mall Dental P.a.
• Brandon Medical Care LLC (Brandon Medical Care)
• Brandon Medical Center
• Brandon Medical Wellness Center (Physical Medicine & Rehabilitation)

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.