Brandon Reed Maxwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2002032305 Issued in MO

Practice address

1276 Jungermann Rd Ste a
Saint Peters, MO 63376-6961

Phone

(636) 922-4140

Fax

(636) 922-4113

NPI assigned

Jan 9, 2007

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)

Enrolled

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.

• Sturges Chiropractic Health Center PC

  • Sports Physician Chiropractor
  • Saint Charles, MO
  • NPI 1518284702
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801945183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 DARDENNE WOODS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687248",
            "telephone_number": "636-561-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 JUNGERMANN RD STE A",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766961",
            "telephone_number": "636-922-4140",
            "fax_number": "636-922-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "BRANDON",
        "middle_name": "REED",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002032305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Matlock, PT, DPT
• Shari Matson, MS/CCC-SP
• Janet Matuszek, DO
• Max Mobility Inc
• Lily Maxey
• Lauren McAdams, PTA
• John W. McAllister, MD
• Mary Michelle McBride, MSW, LCSW
• Fatiha K McCaine, DC
• Michelle Lynn McCammond, LPC

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.