Active NPI
Brandon L Manson, D.C.
- Chiropractor
- Hudson, NY
National Provider Identifier
1861578734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010809
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-0679361 | Other | NY | BX/BS # TAX ID |
| NY10809 | Other | NY | LANDMARK HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| X010809 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Chiropractic Enterprise PLLC | Chiropractor | Current | Accepting new patients |
| Innate Empowerment a Chiropractic Professional Corporation | Chiropractor | Past | Accepting new patients |
| Westside Family Medicine PLLC. | Past | 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.
-
- Chiropractor
- Hudson, NY
- NPI 1942495486
-
- Chiropractor
- Kingston, NY
- NPI 1336409390
-
- Family Medicine Physician
- New York, NY
- NPI 1467539874
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.