Individual provider Active NPI

John Brannan, D.C.

  • Chiropractor
  • Colville, WA
National Provider Identifier
1720522378
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13343 Issued in TX
Practice address
198 Ponderosa Rd
Colville, WA 99114-2003
Phone
(509) 684-6526
NPI assigned
Dec 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13343 TX Primary

Addresses

Primary practice location

198 Ponderosa Rd
Colville, WA 99114-2003

Mailing address

198 Ponderosa Rd
Colville, WA 99114-2003
Phone (509) 684-6526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416003174 WA Practitioner - Chiropractic 0749553568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monumental Health and Wellness PLLCGroup PAC ID 5991078669, 5 clinicians

Practice addresses (Care Compare)

198 Ponderosa Rd
Colville, WA 99114-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monumental Health and Wellness PLLC CurrentSince Oct 1, 2018 Accepting new patients
Monumental Health and Wellness PLLC Past Accepting new patients
T Uselton Inc Chiropractor Past Accepting new patients

Locations

198 Ponderosa Rd
#A
Colville, WA 99114
Phone (509) 684-6526

198 Ponderosa Rd
Colville, WA 99114
Phone (509) 684-2285

Organizations & group practices 3

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1720522378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 PONDEROSA RD",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142003",
            "telephone_number": "509-684-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 PONDEROSA RD",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142003",
            "telephone_number": "509-684-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.