Individual provider Active NPI

Anne Brandon, D.C.

  • Chiropractor
  • Brewster, NY
National Provider Identifier
1669554333
Registry record updated Sep 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006370-1 Issued in NY
Practice address
979 Route 22
Suite B
Brewster, NY 10509-1526
Phone
(845) 279-4300
Fax
(845) 582-0293
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Chiropractic Wellness Care 2 clinicians

Practice addresses (Care Compare)

3951 Danbury Rd
Brewster, NY 10509-5409
Phone (845) 279-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000308 NY Practitioner - Chiropractic 0840291894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006370NYMDCounselor
X006370-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Wellness Care Chiropractor CurrentSince Feb 9, 2011 Accepting new patients
Visiting Nurse Services in Westchester, Inc. Past Accepting new patients

Locations

3951 Danbury Rd
Brewster, NY 10509
Phone (845) 279-4300

979 Route 22
Brewster, NY 10509
Phone (845) 278-2550

979 Route 22
Ste B
Brewster, NY 10509
Phone (845) 279-4300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006370-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

979 Route 22
Suite B
Brewster, NY 10509-1526

Mailing address

979 Route 22
Suite B
Brewster, NY 10509-1526
Phone (845) 279-4300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2012.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1669554333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 ROUTE 22",
            "address_2": "SUITE B",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091526",
            "telephone_number": "845-279-4300",
            "fax_number": "845-582-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 ROUTE 22",
            "address_2": "SUITE B",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091526",
            "telephone_number": "845-279-4300",
            "fax_number": "845-582-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006370-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; 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.