Active NPI
Brandon J Fox, DC
- Chiropractor
- Galesburg, IL
National Provider Identifier
1790056117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012097
- Practice address
- 872 W Dayton St
Galesburg, IL 61401-1503 - Phone
- (309) 344-3400
- Fax
- (309) 344-5040
- NPI assigned
- Jan 17, 2012
- Last updated
- Jan 17, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 038.012097 | IL | Primary |
Addresses
Primary practice location
872 W Dayton St
Galesburg, IL 61401-1503
Mailing address
872 W Dayton St
Galesburg, IL 61401-1503
Phone (309) 344-3400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012097 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1790056117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 W DAYTON ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011503",
"telephone_number": "309-344-3400",
"fax_number": "309-344-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 W DAYTON ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011503",
"telephone_number": "309-344-3400",
"fax_number": "309-344-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "BRANDON",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-17",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.