Active NPI
Brandie Lyn Leach, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1710062708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9175
- Practice address
- 6500 N. Mo Pac Expressway
BLD 3, Ste 3101
Austin, TX 78731 - Phone
- (512) 491-7772
- Fax
- (512) 339-6806
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9175 | TX | Primary |
Addresses
Primary practice location
6500 N. Mo Pac Expressway
BLD 3, Ste 3101
Austin, TX 78731
Mailing address
6500 N. Mo Pac Expressway
BLD 3, Ste 3101
Austin, TX 78731
Phone (512) 491-7772
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 |
|---|---|---|---|
| 9175 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1710062708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 N. MO PAC EXPRESSWAY",
"address_2": "BLD 3, STE 3101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-491-7772",
"fax_number": "512-339-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 N. MO PAC EXPRESSWAY",
"address_2": "BLD 3, STE 3101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-491-7772",
"fax_number": "512-339-6806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "BRANDIE",
"middle_name": "LYN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.