Active NPI
Brandon Daniel Evans, D.C.
- Rehabilitation Chiropractor
- Frisco, TX
National Provider Identifier
1730450610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 13767
- Practice address
- 13986 Mill Town Dr
Frisco, TX 75033-0464 - Phone
- (469) 269-6919
- NPI assigned
- Jan 24, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 13767 | TX | Primary |
Addresses
Primary practice location
13986 Mill Town Dr
Frisco, TX 75033-0464
Mailing address
13986 Mill Town Dr
Frisco, TX 75033-0464
Phone (469) 269-6919
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 |
|---|---|---|---|
| 13767 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1730450610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13986 MILL TOWN DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750330464",
"telephone_number": "469-269-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13986 MILL TOWN DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750330464",
"telephone_number": "469-269-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "BRANDON",
"middle_name": "DANIEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-24",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "13767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.