Active NPI
Benjamin Daniel Brazis, DC
- Chiropractor
- Imlay City, MI
National Provider Identifier
1508694043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301401545
- Practice address
- 125 E Capac Rd
Imlay City, MI 48444-1111 - Phone
- (810) 724-0996
- NPI assigned
- Jul 25, 2024
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301401545 | MI | Primary |
Addresses
Primary practice location
125 E Capac Rd
Imlay City, MI 48444-1111
Mailing address
125 E Capac Rd
Imlay City, MI 48444-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301401545 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1508694043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E CAPAC RD",
"city": "IMLAY CITY",
"state": "MI",
"postal_code": "484441111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E CAPAC RD",
"city": "IMLAY CITY",
"state": "MI",
"postal_code": "484441111",
"telephone_number": "810-724-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZIS",
"first_name": "BENJAMIN",
"middle_name": "DANIEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301401545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Imlay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.