Individual provider Active NPI

Brant D. Spencer, D.C. P.C.

  • Chiropractor
  • Blanchard, OK
National Provider Identifier
1659333557
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3306 Issued in OK
Practice address
104 S. Main
Blanchard, OK 73010
Phone
(405) 485-9646
Fax
(405) 485-3464
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3306 OK Primary

Addresses

Primary practice location

104 S. Main
Blanchard, OK 73010

Mailing address

P.O. Box 1548
Blanchard, OK 73010
Phone (405) 485-9646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000090 OK Practitioner - Chiropractic 3577505494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 S Main
Blanchard, OK 73010-5532
Phone (405) 485-9646

PO Box
Suite 1548
Blanchard, OK 73010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3306OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brant D. Spencer D.C. P.C. Chiropractor CurrentSince Jan 24, 2005 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1659333557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1548",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "73010",
            "telephone_number": "405-485-9646",
            "fax_number": "405-485-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S. MAIN",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "73010",
            "telephone_number": "405-485-9646",
            "fax_number": "405-485-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BRANT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C. P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanchard, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.