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ENVIVE BRANDON PROF LLC
NPI 1023502168
Chiropractor in Brandon, SD

Active since June 21, 2018
220 E HOLLY BLVD, BRANDON, SD 57005(605) 582-3944(605) 582-3698 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2018, Jun 21, 2018 (2 updates tracked since 2018).

About Envive Brandon Prof Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENVIVE BRANDON PROF LLC (NPI 1023502168) is a healthcare organization registered as a chiropractor in Brandon, South Dakota and active in the NPI registry since June 2018. The organization lists Lavonne Mckee, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1023502168
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameENVIVE BRANDON PROF LLC
Location Address220 E HOLLY BLVDBrandon, SD 57005-1171
Mailing Address220 E Holly BlvdBrandon, SD 57005-1171 · (605) 582-3944
Phone(605) 582-3944
Fax(605) 582-3698
Organization SubpartYesParent: Envive, P.c.
Authorized OfficialLavonne MckeeCredentialing Specialist · (605) 214-1401
Enumeration DateJune 21, 2018
Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration
✔ NPI 1023502168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
220 E HOLLY BLVD, Brandon, SD 57005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Envive Brandon Prof Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Envive Brandon Prof LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Phillip Dixon, DC
Chiropractic
NPI 1194705822
220 E HOLLY BLVD
Brandon, SD 57005
(605) 582-3944
✔ Accepts MedicareSame address
Eden Mrozek, DC
Chiropractic
NPI 1265394183
220 E HOLLY BLVD
Brandon, SD 57005
(605) 582-3944
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Envive Brandon Prof LLC's NPI number?

The NPI number for Envive Brandon Prof LLC is 1023502168. It was assigned to this organization in the NPPES registry on June 21, 2018.

Where is Envive Brandon Prof LLC located?

Envive Brandon Prof LLC is located at 220 E Holly Blvd, Brandon, SD 57005. The listed phone number is (605) 582-3944.

What is Envive Brandon Prof LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Envive Brandon Prof LLC enrolled in Medicare?

Yes. Envive Brandon Prof LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Envive Brandon Prof LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Envive Brandon Prof LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Envive Brandon Prof LLC accept?

Health plans from Avera Health Plans and Sanford Health Plan list Envive Brandon Prof LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Envive Brandon Prof LLC was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.