BRANDON KELLEY NPI 1154862951

Chiropractor (Independent Medical Examiner) in Sheridan, WY

Individual Male Chiropractor Independent Medical Examiner Accepts Medicare Years Experience 4

About BRANDON KELLEY

Brandon Kelley is a provider established in Sheridan, Wyoming and his medical specialization is chiropractor with more than 4 years of experience. The NPI number of Brandon Kelley is 1154862951 and was assigned on March 2017. The practitioner's primary taxonomy code is 111NI0013X with license number 779 (WY). The provider is registered as an individual and his NPI record was last updated 2 years ago. Brandon Kelley is registered with Medicare and accepts claims assignment.

NPI

1154862951

Provider Name BRANDON KELLEY
Provider Location Address1156 N MAIN ST SHERIDAN, WY 82801
Provider Mailing Address1156 N MAIN ST SHERIDAN, WY 82801
GenderMale
NPI Entity TypeIndividual
Medical School NamePALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year2016
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-13-2017
Last Update Date05-09-2018

Primary Taxonomy

Taxonomy Code111NI0013X
ClassificationChiropractor
TypeChiropractic Providers
SpecializationIndependent Medical Examiner
License No.779
License StateWY
Taxonomy DescriptionA special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

Business Address

BRANDON KELLEY
1156 N MAIN ST
SHERIDAN, WY
ZIP 82801
Phone: (970) 925-1808

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Mailing Address

BRANDON KELLEY
1156 N MAIN ST
SHERIDAN, WY
ZIP 82801
Phone: (970) 925-1808

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699827766 WENDY J WOOD NEESON FAMILY NURSE PRACTIT
Individual
Nurse Practitioner (Family)1156 N MAIN ST
SHERIDAN, WY 82801
(307) 751-0645
1831675479BRANDON KELLEY D.C. P.C.
Organization
Chiropractor (Sports Physician)1156 N MAIN ST
SHERIDAN, WY 82801
(307) 763-4556

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.