Individual provider Active NPI

Brooke Anne Crandall, DC

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1669990131
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010585 Issued in MI
Practice address
18320 Farmington Rd
Livonia, MI 48152-3230
Phone
(248) 893-7019
Fax
(734) 943-6045
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010585 MI Primary

Addresses

Primary practice location

18320 Farmington Rd
Livonia, MI 48152-3230

Mailing address

18320 Farmington Rd
Livonia, MI 48152-3230
Phone (248) 893-7019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920000695 MI Practitioner - Chiropractic 3577837228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Chiropractic, PLLCGroup PAC ID 1153729454, 2 clinicians

Practice addresses (Care Compare)

18320 Farmington Rd
Livonia, MI 48152-3230
Phone (248) 893-7019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Chiropractic, PLLC Chiropractor CurrentSince Sep 25, 2021 Accepting new patients
Dr Eric Duncan DC, PC Chiropractor PastSince Apr 30, 2012 Accepting new patients

Locations

18320 Farmington Rd
Livonia, MI 48152
Phone (248) 476-6100

Interoperability endpoints

  • Direct secure messaging: bcrandall763647@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1669990131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18320 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523230",
            "telephone_number": "248-893-7019",
            "fax_number": "734-943-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18320 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523230",
            "telephone_number": "248-893-7019",
            "fax_number": "734-943-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "BROOKE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.