Organization Active NPI

Dr. Brandon R. Lemuel DC,PC

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1497135826
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556459 Issued in VA
Legal business name
DR. BRANDON R. LEMUEL DC,PC
Doing business as
Pure Chiropractic
Practice address
301 Maple Ave West
Suite 515
Vienna, VA 22180
Phone
(703) 319-1212
Fax
(703) 319-1215
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Brandon Lemuel, D.C.NPI 1245421064
Title
Owner
Phone
(703) 319-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556459 VA Primary

Addresses

Primary practice location

301 Maple Ave West
Suite 515
Vienna, VA 22180

Mailing address

301 Maple Ave West Suite 515
Vienna, VA 22180
Phone (703) 319-1212

Other names 1

  • Pure Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150812007544 DC Part B Supplier - Clinic/Group Practice 4183939754 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

301 Maple Ave W
Ste 515
Vienna, VA 22180
Phone (703) 319-1212

2565 Chain Bridge Rd
#2F
Vienna, VA 22181
Phone (703) 319-1212

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1497135826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE WEST SUITE 515",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "703-319-1212",
            "fax_number": "703-319-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE WEST",
            "address_2": "SUITE 515",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "703-319-1212",
            "fax_number": "703-319-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRANDON R. LEMUEL DC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "LEMUEL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-319-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.