Active NPI
Stephen D Brandenburg, D.C.
- Chiropractor
- Bartlett, TN
National Provider Identifier
1508818857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 259
- Practice address
- 3189 Kirby Whitten Pkwy
Suite 105
Bartlett, TN 38134-2855 - Phone
- (901) 377-3100
- Fax
- (901) 377-4900
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 259 | TN | Primary |
Addresses
Primary practice location
3189 Kirby Whitten Pkwy
Suite 105
Bartlett, TN 38134-2855
Mailing address
3189 Kirby Whitten Rd
Suite 105
Bartlett, TN 38134-2854
Phone (901) 377-3100
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1508818857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3189 KIRBY WHITTEN RD",
"address_2": "SUITE 105",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381342854",
"telephone_number": "901-377-3100",
"fax_number": "901-377-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3189 KIRBY WHITTEN PKWY",
"address_2": "SUITE 105",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381342855",
"telephone_number": "901-377-3100",
"fax_number": "901-377-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDENBURG",
"first_name": "STEPHEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.