Individual provider Active NPI

Brandon Michael Linker, D.C.

  • Chiropractor
  • Pooler, GA
National Provider Identifier
1598870461
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008834 Issued in GA
Practice address
118 Pipemakers Cir Ste 105
Pooler, GA 31322-4164
Phone
(912) 691-0111
Fax
(912) 208-5064
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008834 GA Primary

Addresses

Primary practice location

118 Pipemakers Cir Ste 105
Pooler, GA 31322-4164

Mailing address

118 Pipemakers Cir Ste 105
Pooler, GA 31322-4164
Phone (912) 691-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827000269 GA Practitioner - Chiropractic 6608934336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Chiropractic IncGroup PAC ID 4183644826, 2 clinicians

Practice addresses (Care Compare)

1011 Towne Ctr Blvd
Suite 103
Pooler, GA 31322-5103
Phone (912) 691-0111

1510 Drayton St
Savannah, GA 31401-7334
Phone (912) 650-3168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008834GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic Inc Chiropractor CurrentSince Jul 6, 2015 Accepting new patients
Rehabilitation & Spinal Care of Rockford SC Chiropractor Past Accepting new patients
Linker Health and Wellness Chiropractor Past Accepting new patients

Locations

463 Pooler Pkwy
Pooler, GA 31322
Phone (843) 545-0076

1011 Towne Center Blvd
Ste 103
Pooler, GA 31322
Phone (912) 691-0111

118 Pipemakers Cir
Ste 105
Pooler, GA 31322
Phone (912) 691-0111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1598870461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PIPEMAKERS CIR STE 105",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224164",
            "telephone_number": "912-691-0111",
            "fax_number": "912-208-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PIPEMAKERS CIR STE 105",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224164",
            "telephone_number": "912-691-0111",
            "fax_number": "912-208-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINKER",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.