Active NPI
Chris William Brandolini, D.C.
- Internist Chiropractor
- Wheaton, MD
National Provider Identifier
1881736007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- S01867
- Practice address
- 11302 Veirs Mill Rd
Wheaton, MD 20902-2557 - Phone
- (301) 962-7300
- Fax
- (301) 962-8952
- NPI assigned
- Feb 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | S01867 | MD | Primary |
Addresses
Primary practice location
11302 Veirs Mill Rd
Wheaton, MD 20902-2557
Mailing address
11302 Veirs Mill Rd
Wheaton, MD 20902-2557
Phone (301) 962-7300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S01867 | MD | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Chiropractic LLC | Internist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881736007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11302 VEIRS MILL RD",
"city": "WHEATON",
"state": "MD",
"postal_code": "209022557",
"telephone_number": "301-962-7300",
"fax_number": "301-962-8952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11302 VEIRS MILL RD",
"city": "WHEATON",
"state": "MD",
"postal_code": "209022557",
"telephone_number": "301-962-7300",
"fax_number": "301-962-8952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDOLINI",
"first_name": "CHRIS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "MD",
"license": "S01867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.