Active NPI
William Curtis Braudt, DC
- Chiropractor
- Canyon, TX
National Provider Identifier
1922031947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8561
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7321347 | Other | AETNA | |
| 137708101 | Other | FIRST CARE | |
| 137708101 | Other | SW LIFE AND HEALTH | |
| 608008 | Other | BCBS | |
| P00125364 | Other | PALMETTO GBA RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8561 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William C. Braudt PA | Chiropractor | Current | Accepting new patients |
| Nancy Hinders DC PA | Chiropractor | Past | 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.
-
- Chiropractor
- Canyon, TX
- NPI 1629251764
-
- Chiropractor
- Canyon, TX
- NPI 1659554780
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.