Justin Edward Brandau, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7382 Issued in AZ

Practice address

4515 S McClintock Dr
Ste 120
Tempe, AZ 85282-7376

Phone

(480) 413-0586

Fax

(480) 730-0487

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Justin Brandau D.C., P.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1548451750
  NPD (past) Authorized official
• Triad Chiropractic & Rehabilitation Clinics, LLC

  • Independent Medical Examiner Chiropractor
  • Tempe, AZ
  • NPI 1326362807
  NPD (past)
• Triad Pain Management Group, PLLC

  • Multi-Specialty Clinic/Center
  • Gold Canyon, AZ
  • NPI 1477802536
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1912072059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 S MCCLINTOCK DR",
            "address_2": "STE 120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827376",
            "telephone_number": "480-413-0586",
            "fax_number": "480-730-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 S MCCLINTOCK DR",
            "address_2": "STE 120",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827376",
            "telephone_number": "480-413-0586",
            "fax_number": "480-730-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDAU",
        "first_name": "JUSTIN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0945320",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5653611",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Braha, LMT
• Mary Elizabeth Braham, ANPC
• Taylor Cunha Branaghan
• Ashton Phillip Branca
• Katie Branch, NMD
• Larry J Brandon
• Rebecca D Branstetter, LPC
• Marc Braslow, DDS
• Christine Marie Brass-Jones, D.O.
• Julie Brass, OT

• Chiropractor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.