Individual provider Active NPI

Brian Jeffery Chandler, D.C.

  • Chiropractor
  • Drummond Island, MI
National Provider Identifier
1598014177
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009949 Issued in MI
Practice address
33896 S Townline Rd
Drummond Island, MI 49726
Phone
(906) 322-1815
Fax
(231) 922-9621
NPI assigned
Aug 29, 2012
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009949 MI Primary

Addresses

Primary practice location

33896 S Townline Rd
Drummond Island, MI 49726

Mailing address

30079 E Maxton Rd
Drummond Island, MI 49726-9538
Phone (906) 322-1815

Other identifiers 1

IdentifierTypeStateIssuer
MI6152MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
2301009949MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian J Chandler DC Chiropractor CurrentSince Nov 5, 2012 Accepting new patients
Great Lakes Counseling P C CurrentSince Jun 1, 2023 Accepting new patients
River of Life Chiropractic and Wellness PLLC Chiropractor PastSince Sep 5, 2015 Accepting new patients
Onthank Chiropractic Center Chiropractor Past Accepting new patients

Locations

1213 W Front St
Traverse City, MI 49684
Phone (231) 922-9626

697 Hannah Ave
Ste C
Traverse City, MI 49686
Phone (231) 932-2292

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1598014177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30079 E MAXTON RD",
            "city": "DRUMMOND ISLAND",
            "state": "MI",
            "postal_code": "497269538",
            "telephone_number": "906-322-1815",
            "fax_number": "231-922-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33896 S TOWNLINE RD",
            "city": "DRUMMOND ISLAND",
            "state": "MI",
            "postal_code": "49726",
            "telephone_number": "906-322-1815",
            "fax_number": "231-922-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "BRIAN",
        "middle_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MI6152",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drummond Island, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.