Active NPI
Brandon Trent Pearson, DC
- Chiropractor
- Oregon City, OR
National Provider Identifier
1629458955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6267
- Practice address
- 619 High St
Oregon City, OR 97045-2240 - Phone
- (503) 656-4993
- Fax
- (503) 657-0411
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5096 - 12 | WI | |
| Chiropractor | 111N00000X | 8740 | AZ | |
| Chiropractor | 111N00000X | 6267 | OR | Primary |
Addresses
Primary practice location
619 High St
Oregon City, OR 97045-2240
Mailing address
115 W 33Rd St
Vancouver, WA 98660-1901
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8740 | AZ | MD | Chiropractor |
| 5096 - 12 | WI | MD | Chiropractor |
| 6267 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1629458955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W 33RD ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986601901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 HIGH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452240",
"telephone_number": "503-656-4993",
"fax_number": "503-657-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "BRANDON",
"middle_name": "TRENT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5096 - 12",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8740",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.