Active NPI
Brandon Parsons, PT
- Physical Therapist
- Mishawaka, IN
National Provider Identifier
1508534330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05014348A
- Practice address
- 60160 Bodnar Blvd
Mishawaka, IN 46544-9338 - Phone
- (574) 247-9441
- NPI assigned
- Sep 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05014348A | IN | Primary |
Addresses
Primary practice location
60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Mailing address
3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (800) 622-6575
Other practice location 1
5230 Beck Dr Ste 7
Elkhart, IN 46516-9059
Phone (574) 247-9441
Other practice location 2
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (574) 247-9441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05014348A | Other | IN | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sbortho.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone (574) 247-9441
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- Quality
- 64.48
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05014348A | IN | MD | Physical Therapist |
Interoperability endpoints
- brandon.parsons.2@13070.direct.athenahealth.com
- brandon.parsons.p4@direct.beaconortho.nextgenshare.com
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.
-
- Orthopaedic Surgery Physician
- Muncie, IN
- NPI 1063422137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1508534330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W BETHEL AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045407",
"telephone_number": "800-622-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60160 BODNAR BLVD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465449338",
"telephone_number": "574-247-9441"
}
],
"practiceLocations": [
{
"address_1": "5230 Beck Dr Ste 7",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465169059",
"country_code": "US",
"telephone_number": "574-247-9441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "53880 Carmichael Dr",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466351567",
"country_code": "US",
"telephone_number": "574-247-9441",
"fax_number": "574-247-9442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARSONS",
"first_name": "BRANDON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-07",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05014348A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "05014348A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sbortho.com",
"affiliation": "N",
"address_1": "53880 Carmichael Dr",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466351567",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.