Individual provider Active NPI

Brandon Ryan Christy, D.C

  • Chiropractor
  • Portland, OR
National Provider Identifier
1871047431
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002998A Issued in IN
Practice address
12923 NW Cornell Rd Ste 201
Portland, OR 97229-5834
Phone
(503) 646-3393
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002998A IN Primary

Addresses

Primary practice location

12923 NW Cornell Rd Ste 201
Portland, OR 97229-5834

Mailing address

1488 SE 52ND Ave
Hillsboro, OR 97123-7644
Phone (541) 410-6776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160923002026 OR Practitioner - Chiropractic 7416244157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12923 NW Cornell Rd
Suite 201
Portland, OR 97229-5834
Phone (541) 410-6776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Proactive Health Care LLC CurrentSince May 12, 2024 Accepting new patients
Cedar Mill Family Chiropractic Inc Chiropractor CurrentSince Sep 11, 2021 Accepting new patients
Healing Motion Physical Therapy, Inc. PastSince Nov 9, 2023 Accepting new patients

Locations

315 W Broadway
Ste 100
Eugene, OR 97401
Phone (541) 206-2271

12923 NW Cornell Rd
Ste 201
Portland, OR 97229
Phone (503) 646-3393

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1871047431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 SE 52ND AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237644",
            "telephone_number": "541-410-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12923 NW CORNELL RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295834",
            "telephone_number": "503-646-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "BRANDON",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002998A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.