Individual provider Active NPI

Justin Brande, D.C.

  • Chiropractor
  • Shelburne, VT
National Provider Identifier
1821154741
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0060001088 Issued in VT
Practice address
2882 Shelburne Rd
Shelburne, VT 05482-7021
Phone
(802) 985-9500
Fax
(802) 985-4059
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0060001088 VT Primary

Addresses

Primary practice location

2882 Shelburne Rd
Shelburne, VT 05482-7021

Mailing address

2882 Shelburne Rd
Shelburne, VT 05482-7021
Phone (802) 985-9500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
723-0604NHMDChiropractor
0060001088VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jennifer Peet Chiropractor PastSince May 20, 2007 Accepting new patients
Health in Focus: the Center for Chiropractic & Applied Kinesiology PLC Chiropractor PastSince Jan 26, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1821154741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 SHELBURNE RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827021",
            "telephone_number": "802-985-9500",
            "fax_number": "802-985-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 SHELBURNE RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827021",
            "telephone_number": "802-985-9500",
            "fax_number": "802-985-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060001088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.