Organization Active NPI

Brandon Fitch, P.a.

Doing business as Fitch Family Chiropractic

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1639423056
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15750 Issued in AR
Legal business name
BRANDON FITCH, P.A.
Doing business as
Fitch Family Chiropractic
Practice address
211 NE a St
Bentonville, AR 72712-5315
Phone
(479) 273-9715
NPI assigned
Nov 7, 2012
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Brandon Matthew Fitch, D.C.NPI 1013213271
Title
Chiropractor
Phone
(870) 715-8033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15750 AR Primary

Addresses

Primary practice location

211 NE a St
Bentonville, AR 72712-5315

Mailing address

211 NE a St
Bentonville, AR 72712-5315
Phone (479) 273-9715

Other names 1

  • Fitch Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000319 AR Part B Supplier - Clinic/Group Practice 3678718855 Receives reassigned benefits from 1 practitioner
Practice locations: Bentonville, AR

National Provider Directory

National Provider Directory

Locations

113 NW 2nd St
Bentonville, AR 72712
Phone (479) 271-2273

3902 E Central Ave
Bentonville, AR 72712
Phone (479) 273-9715

8201 Cantrell Rd
Ste 235
Little Rock, AR 72227
Phone (501) 223-4044

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1639423056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NE A ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125315",
            "telephone_number": "479-273-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE A ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125315",
            "telephone_number": "479-273-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON FITCH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "870-715-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitch Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.