Health Solutions of Brandon LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

HEALTH SOLUTIONS OF BRANDON LLC

Doing business as

Back and Neck Doctors

Practice address

807 S Parsons Ave
Brandon, FL 33511-6063

Phone

(813) 684-8041

Fax

(813) 689-1140

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Kenneth A Wetherington, D.C.

Title

Owner

Phone

(813) 684-8141

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BACK AND NECK DOCTORS Doing business as

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1609127067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116063",
            "telephone_number": "813-684-8041",
            "fax_number": "813-689-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116063",
            "telephone_number": "813-684-8041",
            "fax_number": "813-689-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOLUTIONS OF BRANDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "WETHERINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-684-8141",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "003S2",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BACK AND NECK DOCTORS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Brandon, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.