Active NPI
Brandon N Jenkins, D.C.
- Nutrition Chiropractor
- Goodlettsville, TN
National Provider Identifier
1679584825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC2140
- Practice address
- 110 Glancy St
Suite 102
Goodlettsville, TN 37072-2326 - Phone
- (615) 868-7676
- Fax
- (615) 868-8345
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC2140 | TN | Primary |
Addresses
Primary practice location
110 Glancy St
Suite 102
Goodlettsville, TN 37072-2326
Mailing address
113 Teresa Dr
Old Hickory, TN 37138
Phone (615) 847-3894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2140 | TN | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679584825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 TERESA DR",
"city": "OLD HICKORY",
"state": "TN",
"postal_code": "37138",
"telephone_number": "615-847-3894",
"fax_number": "615-868-8345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GLANCY ST",
"address_2": "SUITE 102",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722326",
"telephone_number": "615-868-7676",
"fax_number": "615-868-8345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "BRANDON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "TN",
"license": "DC2140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodlettsville, TN
- William Kolton James, LPN
- Angela Tidwell Janicek, NURSE PRACTITIONER
- Katherine Danielle Janiga, FNP-C
- Jared Baysinger, DMD, PLLC
- Jeffrey W Mathews DDS PLLC (Goodlettsville Family Dental)
- La'Wanda Y. Jenkins, DNP, APN, PMHCNS-BC
- Meghan Tomlinson Jenkins, MSN, FNP
- John Douglas Evans (Community Drug)
- John Douglas Evans (Community Drug Pharmacy)
- John Friedmann PLLC (Dream Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.