Brandon Mitchell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11359 Issued in FL

Practice address

12631 World Plaza LN
#54
Fort Myers, FL 33907-3990

Phone

(239) 936-2225

Fax

(239) 936-0075

NPI assigned

Dec 1, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Back Pain Institute of Ft. Myers, Inc.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1942469184
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1801293204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 WORLD PLAZA LN",
            "address_2": "#54",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073990",
            "telephone_number": "239-936-2225",
            "fax_number": "239-936-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 WORLD PLAZA LN",
            "address_2": "#54",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073990",
            "telephone_number": "239-936-2225",
            "fax_number": "239-936-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRANDON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Camille Misiorowski, OD
• Gina Tracy Mitas, APRN
• Angela Mitchell, B.L.S
• Angela Marie Mitchell, P.A.
• Ashley Mitchell
• Danielle Nicole Mitchell
• Erin Mitchell, RN
• James A Mitchell, D.D.S.
• Jessica Caroline Mitchell, MH25099
• Joseph Paul Mitchell, D.D.S.

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.