Carrie Ann Roeder Brannock, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27850 Issued in CA

Practice address

2515 Camino del Rio S Ste 110
San Diego, CA 92108-3714

Phone

(619) 291-8111

Fax

(619) 291-8118

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1992769871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083714",
            "telephone_number": "619-291-8111",
            "fax_number": "619-291-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CAMINO DEL RIO S STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083714",
            "telephone_number": "619-291-8111",
            "fax_number": "619-291-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER BRANNOCK",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thereza Escoto Rodriugez, RN
• Alyssa Lilia Rodzach
• Isabel Roe
• Jessica Ann Roeber, D.D.S.
• Courtney Michelle Roebuck
• Roeder Chiropractic, Inc.
• Hilary Alpert Roeder, M.D.
• Rebecca Roehm
• Makenna Elaine Roehr, AMFT
• Jacintha Roemer, L.AC., LMT

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.