Individual provider Active NPI

Brandon U Pounds, DC

  • Chiropractor
  • Bryan, TX
National Provider Identifier
1528572013
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13412 Issued in TX
Practice address
1733 Briarcrest Dr Ste 203
Bryan, TX 77802-2755
Phone
(979) 485-1688
Fax
(844) 888-0315
NPI assigned
Nov 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13412 TX Primary

Addresses

Primary practice location

1733 Briarcrest Dr Ste 203
Bryan, TX 77802-2755

Mailing address

1733 Briarcrest Dr Ste 203
Bryan, TX 77802-2755
Phone (979) 485-1688

Other identifiers 2

IdentifierTypeStateIssuer
1528572013OtherTXNPI-1
1891209383OtherTXNPI-2

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908000678 TX Practitioner - Chiropractic 2163828617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13412TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Chiropractic Chiropractor CurrentSince Jun 2, 2021 Accepting new patients

Locations

1733 Briarcrest Dr
Ste 203
Bryan, TX 77802
Phone (979) 485-1688

9504 N Interstate 35
Ste 315
San Antonio, TX 78233
Phone (210) 549-5050

433 Kitty Hawk Rd
Ste 111
Universal City, TX 78148

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.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1528572013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 BRIARCREST DR STE 203",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022755",
            "telephone_number": "979-485-1688",
            "fax_number": "844-888-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 BRIARCREST DR STE 203",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022755",
            "telephone_number": "979-485-1688",
            "fax_number": "844-888-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNDS",
        "first_name": "BRANDON",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1528572013",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-2",
            "identifier": "1891209383",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.