Individual provider Active NPI

Bryan Scott Rand, DC

  • Chiropractor
  • El Mirage, AZ
National Provider Identifier
1548798333
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8640 Issued in AZ
Practice address
15235 N Dysart Rd Ste 109
El Mirage, AZ 85335-7801
Phone
(623) 512-2748
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 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 8640 AZ Primary

Addresses

Primary practice location

15235 N Dysart Rd Ste 109
El Mirage, AZ 85335-7801

Mailing address

15235 N Dysart Rd Ste 109
El Mirage, AZ 85335-7801
Phone (623) 512-2748

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112002348 AZ Practitioner - Chiropractic 6608246491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15235 N Dysart Rd
Suite 109
El Mirage, AZ 85335-7801
Phone (623) 512-2748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8640AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rand Family Chiropractic LLC Chiropractor CurrentSince Sep 15, 2022 Accepting new patients

Locations

15235 N Dysart Rd
Ste 109
El Mirage, AZ 85335
Phone (623) 512-2748

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1548798333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 N DYSART RD STE 109",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853357801",
            "telephone_number": "623-512-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 N DYSART RD STE 109",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853357801",
            "telephone_number": "623-512-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAND",
        "first_name": "BRYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.