Mark Aaron Brandt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5544 Issued in OR

Practice address

16677 NE Russell St
Apt 168
Portland, OR 97230-5904

Phone

(971) 678-4063

NPI assigned

Feb 9, 2014

Last updated

Feb 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boones Ferry Chiropractic and Massage PCGroup PAC ID 6608890843, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boones Ferry Chiropractic and Massage PC

  • Chiropractor
  • Wilsonville, OR
  • NPI 1417142530
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391904000000",
    "number": "1548684723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16677 NE RUSSELL ST",
            "address_2": "APT 168",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305904",
            "telephone_number": "971-678-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16677 NE RUSSELL ST",
            "address_2": "APT 168",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305904",
            "telephone_number": "971-678-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "MARK",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Brandt
• Allison Brandt, PHD
• Darin E Brandt, DO
• Katherine Brandt
• Kevin Brandt, PA-C
• Sarah Brandt, PA-C
• Tyler Reis Brandys
• Dana Armen Henry Von Braner, MD
• Christopher Weston Branger Munoz
• Lindsay Lee Branine

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; 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.

Verify at the official NPI Registry.