Individual provider Active NPI

Brandie Marlin, D.C.

  • Chiropractor
  • Mocksville, NC
National Provider Identifier
1912239807
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4136 Issued in NC
Practice address
148B W Water St
Mocksville, NC 27028-2540
Phone
(336) 753-1447
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4136 NC Primary

Addresses

Primary practice location

148B W Water St
Mocksville, NC 27028-2540

Mailing address

148B W Water St
Mocksville, NC 27028-2540
Phone (336) 753-1447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000003 NC Practitioner - Chiropractic 6103096276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

148 B W Water St
Mocksville, NC 27028-2540
Phone (336) 753-1447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4136NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marlin Chiropractic Center PLLC Chiropractor CurrentSince Jul 21, 2011 Accepting new patients

Locations

854 Valley Rd
Ste 200
Mocksville, NC 27028
Phone (336) 753-1447

148 W Water St
#B
Mocksville, NC 27028
Phone (336) 753-1447

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1912239807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148B W WATER ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282540",
            "telephone_number": "336-753-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148B W WATER ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282540",
            "telephone_number": "336-753-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "BRANDIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mocksville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.