Individual provider Active NPI

Brandy Jean Morgan, D.C.

  • Chiropractor
  • Poulsbo, WA
National Provider Identifier
1619281672
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60163537 Issued in WA
Practice address
20714 State Highway 305 NE
Suite 1F
Poulsbo, WA 98370-8787
Phone
(360) 598-1504
Fax
(360) 350-6746
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60163537 WA Primary

Addresses

Primary practice location

20714 State Highway 305 NE
Suite 1F
Poulsbo, WA 98370-8787

Mailing address

20714 State Highway 305 NE
Ste1F
Poulsbo, WA 98370-8787
Phone (360) 598-1504

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

LicenseStateTypeSpecialty
CH60163537WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1619281672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20714 STATE HIGHWAY 305 NE",
            "address_2": "STE1F",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708787",
            "telephone_number": "360-598-1504",
            "fax_number": "360-350-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20714 STATE HIGHWAY 305 NE",
            "address_2": "SUITE 1F",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708787",
            "telephone_number": "360-598-1504",
            "fax_number": "360-350-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "BRANDY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60163537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.