Brandon Moore Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010702 Issued in IL

Legal business name

BRANDON MOORE CHIROPRACTIC P.C.

Practice address

718 S Court St
Grayville, IL 62844-1579

Phone

(618) 375-2771

NPI assigned

Jan 24, 2007

Last updated

Sep 4, 2012By 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. Brandon M Moore, D.C.

Title

President

Phone

(618) 375-2771

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Kristina Catherine Celia Lehman, D.C.

  • Chiropractor
  • Grayville, IL
  • NPI 1164741039
  NPD (past)
• Deborah Ann Yoos, D.C.

  • Chiropractor
  • Bloomington, IL
  • NPI 1245354588
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1811042229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S COURT ST",
            "city": "GRAYVILLE",
            "state": "IL",
            "postal_code": "628441579",
            "telephone_number": "618-375-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S COURT ST",
            "city": "GRAYVILLE",
            "state": "IL",
            "postal_code": "628441579",
            "telephone_number": "618-375-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON MOORE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-375-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie M Baldwin, D.C.
• Bonum Inc (Meadowood)
• City of Grayville (City of Grayville Ambulance Service)
• Ralph Demaret
• Grayville Community Unit School District #1
• Grayville Cusd #1
• Haven of Wabash, LLC

• Chiropractor in Grayville, IL
• Providers in Grayville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.