Fusion Chiropractic Health & Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11438 Issued in FL

Legal business name

FUSION CHIROPRACTIC HEALTH & WELLNESS CENTER, LLC

Practice address

680 E Main Street
Suite 101
Bartow, FL 33830-4803

Phone

(863) 537-7330

Fax

(863) 582-9341

NPI assigned

Aug 27, 2016

Last updated

Nov 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brandi Kalia Ancrum, DCNPI 1083071302

Title

Owner

Phone

(813) 355-1600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brandi Ancrum, DC

  • Chiropractor
  • Bartow, FL
  • NPI 1083071302
  Authorized official Same address or phone

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1659827962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E MAIN STREET",
            "address_2": "SUITE 101",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304803",
            "telephone_number": "863-537-7330",
            "fax_number": "863-582-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E MAIN STREET",
            "address_2": "SUITE 101",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304803",
            "telephone_number": "863-537-7330",
            "fax_number": "863-582-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION CHIROPRACTIC HEALTH & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "ANCRUM",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "KALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-355-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bartow, FL
• Providers in Bartow, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.