Active NPI
Brandon Herron
- Chiropractor
- Traverse City, MI
National Provider Identifier
1629647474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301011077
- Practice address
- 2506 Crossing Cir Ste a
Traverse City, MI 49684-7955 - Phone
- (231) 421-3333
- NPI assigned
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301011077 | MI | Primary |
Addresses
Primary practice location
2506 Crossing Cir Ste a
Traverse City, MI 49684-7955
Mailing address
PO Box 505
Suttons Bay, MI 49682-0505
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1629647474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505",
"city": "SUTTONS BAY",
"state": "MI",
"postal_code": "496820505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 CROSSING CIR STE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847955",
"telephone_number": "231-421-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301011077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.