Individual provider Active NPI

Brandon L Manson, D.C.

  • Chiropractor
  • Hudson, NY
National Provider Identifier
1861578734
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010809 Issued in NY
Practice address
351 Fairview Ave
Suite 600
Hudson, NY 12534-1258
Phone
(518) 828-3662
Fax
(518) 828-3845
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010809 NY Primary

Addresses

Primary practice location

351 Fairview Ave
Suite 600
Hudson, NY 12534-1258

Mailing address

351 Fairview Ave Ste 600
Hudson, NY 12534-1259
Phone (518) 828-3662

Other identifiers 2

IdentifierTypeStateIssuer
20-0679361OtherNYBX/BS # TAX ID
NY10809OtherNYLANDMARK HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513001602 NY Practitioner - Chiropractic 1254321060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

351 Fairview Ave
Suite 600
Hudson, NY 12534-1270
Phone (518) 828-3662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010809NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
American Chiropractic Enterprise PLLC Chiropractor CurrentSince Jun 1, 2007 Accepting new patients
Innate Empowerment a Chiropractic Professional Corporation Chiropractor PastSince Jan 10, 2013 Accepting new patients
Westside Family Medicine PLLC. PastSince May 29, 2025 Accepting new patients

Locations

351 Fairview Ave
Ste 600
Hudson, NY 12534
Phone (518) 828-3662

322 Fairview Ave
Hudson, NY 12534
Phone (518) 828-3662

Organizations & group practices 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1861578734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 FAIRVIEW AVE STE 600",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341259",
            "telephone_number": "518-828-3662",
            "fax_number": "518-828-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 FAIRVIEW AVE",
            "address_2": "SUITE 600",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341258",
            "telephone_number": "518-828-3662",
            "fax_number": "518-828-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSON",
        "first_name": "BRANDON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX/BS # TAX ID",
            "identifier": "20-0679361",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK HEALTH CARE",
            "identifier": "NY10809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.