Brandt Chiropractic Clinic, PC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3381 Issued in CO

Legal business name

BRANDT CHIROPRACTIC CLINIC, PC LLC

Practice address

246 S Interocean Ave
Holyoke, CO 80734-1535

Phone

(970) 854-3398

NPI assigned

Jan 16, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerold A Brandt, D.C.NPI 1003097726

Title

President Owner

Phone

(970) 854-3398

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerold A Brandt, D.C.

  • Chiropractor
  • Holyoke, CO
  • NPI 1003097726
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1790837474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S INTEROCEAN AVE",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 S INTEROCEAN AVE",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341535",
            "telephone_number": "970-854-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDT CHIROPRACTIC CLINIC, PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "970-854-3398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather R Armstrong, MA LPC
• Ronnie Bahler
• Jimmie Dale Bailey II, MD
• Banner Health Physicians Colorado LLC
• BD2 Inc (Bemis Drug-Holyoke)
• Jerold A Brandt, D.C.
• Jessica Leigh Bullard, FNP-C
• Centennial Mental Health Center
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.

• Chiropractor in Holyoke, CO
• Providers in Holyoke, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.