Active NPI
Brandon Sloane Fortinberry, D.C.
- Chiropractor
- Madison, MS
National Provider Identifier
1689922734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1189
- Practice address
- 1029 Highway 51 Ste F2
Madison, MS 39110-7648 - Phone
- (601) 605-0309
- NPI assigned
- Aug 21, 2012
- Last updated
- Aug 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1189 | MS | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 721 | MS |
Addresses
Primary practice location
1029 Highway 51 Ste F2
Madison, MS 39110-7648
Mailing address
1029 Highway 51 Ste F2
Madison, MS 39110-7648
Phone (601) 605-0309
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1689922734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 HIGHWAY 51 STE F2",
"city": "MADISON",
"state": "MS",
"postal_code": "391107648",
"telephone_number": "601-605-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 HIGHWAY 51 STE F2",
"city": "MADISON",
"state": "MS",
"postal_code": "391107648",
"telephone_number": "601-605-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTINBERRY",
"first_name": "BRANDON",
"middle_name": "SLOANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1189",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MS",
"license": "721",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
- Brittany Thomas Flaggs, DPT
- Flowood River Oaks Hma Medical Group, LLC (Care Plus Germantown Family Medicine)
- Flowood River Oaks Hma Medical Group, LLC (CarePlus Madison Family Medicine)
- Chancey Fort, LPC, RPT, NCC, NCSC
- William Coleman Fortenberry, DMD
- Mary Rebecca Foster, CCC-A
- Fountains Infusion Center LLC
- Tyler Fuller, PHARMD
- John Christopher Funkhouser, N.P.
- G Gives Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.