Individual provider Active NPI

Brandon Galbraith, D.C.

  • Chiropractor
  • New Haven, IN
National Provider Identifier
1598157018
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002828A Issued in IN
Practice address
108 Landin Rd
New Haven, IN 46774-1168
Phone
(260) 493-6565
Fax
(260) 493-6567
NPI assigned
Feb 20, 2015
Last updated
Feb 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002828A IN Primary

Addresses

Primary practice location

108 Landin Rd
New Haven, IN 46774-1168

Mailing address

108 Landin Rd
New Haven, IN 46774-1168
Phone (260) 493-6565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714000619 IN Practitioner - Chiropractic 1557674025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Spine and Joint LLCGroup PAC ID 0648583112, 2 clinicians

Practice addresses (Care Compare)

800 N Indiana Ave
Auburn, IN 46706-1106
Phone (260) 927-0581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Spine & Joint LLC Chiropractor CurrentSince Jun 8, 2015 Accepting new patients
Chiropractic Resource Center Chiropractor Past Accepting new patients
Spinal Healthcare and Physical Medicine LLC PastSince Oct 6, 2016 Accepting new patients

Locations

800 N Indiana Ave
Auburn, IN 46706
Phone (260) 433-9734

Organizations & group practices 3

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1598157018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LANDIN RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741168",
            "telephone_number": "260-493-6565",
            "fax_number": "260-493-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LANDIN RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741168",
            "telephone_number": "260-493-6565",
            "fax_number": "260-493-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBRAITH",
        "first_name": "BRANDON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002828A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.