Robert Brandon Ballard, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009470 Issued in GA

Practice address

1715 Buford Dr
Lawrenceville, GA 30043

Phone

(770) 277-1650

NPI assigned

May 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wilber Chiropractic Clinic

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1821263948
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1659727055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BUFORD DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433213",
            "telephone_number": "770-277-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BUFORD DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "770-277-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 Buford Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "30043",
            "country_code": "US",
            "telephone_number": "770-277-1650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "ROBERT",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659727055",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vera Balestra
• Ian C Balfour, MD
• Roderick Ball, RBT
• Ballard Chiropractic & Associates LLC (Ballard Chiropractic)
• Madeline Grace Ballard
• Nazra Baluch, M.D.
• Ramandeep Kaur Bambrah, MD
• Ramya Sree Banala, MD
• Elena Ecaterina Banciu
• Christopher Banerjee, MD, MPH

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.