Individual provider Active NPI

Brandon Jeffrey Saraceno, D.C.

  • Chiropractor
  • Erie, PA
National Provider Identifier
1669895652
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010804 Issued in PA
Practice address
1009 E 38TH St
Erie, PA 16504-1843
Phone
(814) 824-6442
Fax
(814) 824-4007
NPI assigned
Jan 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 DC010804 PA Primary

Addresses

Primary practice location

1009 E 38TH St
Erie, PA 16504-1843

Mailing address

203 Dundon Rd
Apt. 1
Edinboro, PA 16412-2322
Phone (814) 746-2836

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140724001125 PA Practitioner - Chiropractic 9638395841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3343 W 38TH St
A
Erie, PA 16506-4203
Phone (814) 838-3830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brandon Saraceno P.C. Chiropractor CurrentSince Feb 3, 2021 Accepting new patients

Locations

3343 W 38th St
#A
Erie, PA 16506
Phone (814) 838-3830

3343 W 38th St
Erie, PA 16506
Phone (814) 746-2836

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": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1669895652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 DUNDON RD",
            "address_2": "APT. 1",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122322",
            "telephone_number": "814-746-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041843",
            "telephone_number": "814-824-6442",
            "fax_number": "814-824-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARACENO",
        "first_name": "BRANDON",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.