Individual provider Active NPI

Brandon Brian Mahaffy, D.C.

  • Chiropractor
  • Huntersville, NC
National Provider Identifier
1609121359
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4287 Issued in NC
Practice address
15940 Northcross Dr Ste B
Huntersville, NC 28078-5063
Phone
(704) 584-9299
NPI assigned
Jul 18, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4287 NC Primary

Addresses

Primary practice location

15940 Northcross Dr Ste B
Huntersville, NC 28078-5063

Mailing address

1595 Cold Creek PL
Huntersville, NC 28078-3646
Phone (810) 841-3933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120829000511 NC Practitioner - Chiropractic 3274780010

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exodus Chiropractic Charlotte, PLLCGroup PAC ID 2365699105, 2 clinicians

Practice addresses (Care Compare)

19460 Old Jetton Rd
Suite 203
Cornelius, NC 28031-6763
Phone (704) 892-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4287NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Chiropractic & Wellness Chiropractor CurrentSince Feb 15, 2021 Accepting new patients

Locations

11056 Renaissance Dr
Davidson, NC 28036
Phone (419) 543-2727

Organizations & group practices 2

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1609121359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 COLD CREEK PL",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783646",
            "telephone_number": "810-841-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15940 NORTHCROSS DR STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785063",
            "telephone_number": "704-584-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAFFY",
        "first_name": "BRANDON",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.