Individual provider Active NPI

William Curtis Braudt, DC

  • Chiropractor
  • Canyon, TX
National Provider Identifier
1922031947
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8561 Issued in TX
Practice address
10140 W US Highway 60
Canyon, TX 79015-5708
Phone
(806) 452-7575
Fax
(806) 705-8964
NPI assigned
Jul 10, 2006
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8561 TX Primary

Addresses

Primary practice location

10140 W US Highway 60
Canyon, TX 79015-5708

Mailing address

10140 W US Highway 60
Canyon, TX 79015-5708
Phone (806) 452-7575

Other identifiers 5

IdentifierTypeStateIssuer
7321347OtherAETNA
137708101OtherFIRST CARE
137708101OtherSW LIFE AND HEALTH
608008OtherBCBS
P00125364OtherPALMETTO GBA RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000843 TX Practitioner - Chiropractic 1052381928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10140 W US Hwy 60
Canyon, TX 79015-5708
Phone (806) 452-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8561TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
William C. Braudt PA Chiropractor CurrentSince Jun 1, 2004 Accepting new patients
Nancy Hinders DC PA Chiropractor PastSince Jan 1, 2002 Accepting new patients

Locations

10140 W US Highway 60
Canyon, TX 79015
Phone (806) 452-7575

2306 7th Ave
Canyon, TX 79015
Phone (806) 655-2373

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1922031947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 W US HIGHWAY 60",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790155708",
            "telephone_number": "806-452-7575",
            "fax_number": "806-705-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 W US HIGHWAY 60",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790155708",
            "telephone_number": "806-452-7575",
            "fax_number": "806-705-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUDT",
        "first_name": "WILLIAM",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-16",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7321347",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "137708101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SW LIFE AND HEALTH",
            "identifier": "137708101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "608008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "P00125364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.