Individual provider Active NPI

Anthony Julio Branker, D.C., M.S., DACBSP

  • Sports Physician Chiropractor
  • Houston, TX
National Provider Identifier
1699149302
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
13068 Issued in TX
Practice address
6363 Richmond Ave Ste 260
Houston, TX 77057-5950
Phone
(832) 580-9743
Fax
(832) 201-0797
NPI assigned
Nov 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13068 TX
Athletic Trainer 2255A2300X AT3682 TX
Sports Physician Chiropractor 111NS0005X 13068 TX Primary

Addresses

Primary practice location

6363 Richmond Ave Ste 260
Houston, TX 77057-5950

Mailing address

6122 Gladewell Dr
Houston, TX 77072-1502
Phone (832) 580-9743

Other names 1

  • Tony Julio Branker Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402001001 TX Practitioner - Chiropractic 7810332954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13068TXMDGeneral Practice Dentistry
AT3682TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Testimonial Spine & Fitness, LLC Chiropractor CurrentSince Feb 9, 2024 Accepting new patients

Locations

4665 Southwest Fwy
#205
Houston, TX 77027

6363 Richmond Ave
Ste 260
Houston, TX 77057
Phone (832) 580-9743

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": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1699149302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 GLADEWELL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770721502",
            "telephone_number": "832-580-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 RICHMOND AVE STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575950",
            "telephone_number": "832-580-9743",
            "fax_number": "832-201-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANKER",
        "first_name": "ANTHONY",
        "middle_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S., DACBSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-18",
        "last_updated": "2022-04-08",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13068",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3682",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "13068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "BRANKER",
            "middle_name": "JULIO",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.