Active NPI
Brian Jeffery Chandler, D.C.
- Chiropractor
- Drummond Island, MI
National Provider Identifier
1598014177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009949
- 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, 2024
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI6152 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009949 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian J Chandler DC | Chiropractor | Current | Accepting new patients |
| Great Lakes Counseling P C | Current | Accepting new patients | |
| River of Life Chiropractic and Wellness PLLC | Chiropractor | Past | 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.
-
- Chiropractor
- Traverse City, MI
- NPI 1235483892
-
- Community/Behavioral Health Agency
- Kingsley, MI
- NPI 1578834156
-
- Chiropractor
- Traverse City, MI
- NPI 1841544954
-
- Chiropractor
- Traverse City, MI
- NPI 1134505795
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.