Roger Stephen Brisbane, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21252 Issued in CA

Practice address

231 Blue Ravine Rd
Ste 200
Folsom, CA 95630-3893

Phone

(916) 985-9990

Fax

(916) 351-0776

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adjusting Life Chiropractic Cullen Inc.

  • Chiropractor
  • Folsom, CA
  • NPI 1730846106
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1699861476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BLUE RAVINE RD",
            "address_2": "STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303893",
            "telephone_number": "916-983-3279",
            "fax_number": "916-983-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BLUE RAVINE RD",
            "address_2": "STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303893",
            "telephone_number": "916-985-9990",
            "fax_number": "916-351-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISBANE",
        "first_name": "ROGER",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randeep Singh Brar, PMHNP
• Keith Richard Brau
• Brett Jensen, DDS, Inc.
• Breanne Brett, PHYSICAL THERAPIST
• Adriana Marie Bridges
• Julie L Broadbent
• Broadstone Chiropractic Collins, Inc.
• Broadstone Chiropractic Inc
• Broadstone Dental
• Broadstone Dental Group

• Chiropractor in Folsom, CA
• Providers in Folsom, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.