CHAMPION WELLNESS CENTERS, FISHHAWK, LLC
NPI 1386207272
Chiropractor in Brandon, FL

Q: What is Champion Wellness Centers, Fishhawk, LLC's specialty?

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

Active since April 17, 2019

908 LITHIA PINECREST RD, BRANDON, FL 33511(813) 409-3304 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2026, Mar 20, 2025, Apr 17, 2019 (3 updates tracked since 2019).

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About Champion Wellness Centers, Fishhawk, Llc NPPES

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

CHAMPION WELLNESS CENTERS, FISHHAWK, LLC (NPI 1386207272), doing business as Brandon Spine And Injury, is a healthcare organization registered as a chiropractor in Brandon, Florida and active in the NPI registry since April 2019. The organization lists Kyle Thomas Mullan, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1386207272

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCHAMPION WELLNESS CENTERS, FISHHAWK, LLC

Location Address908 LITHIA PINECREST RDBrandon, FL 33511-6121

Mailing Address908 Lithia Pinecrest RdBrandon, FL 33511-6121 · (813) 409-3304

Phone(813) 409-3304

Organization SubpartNo

Authorized OfficialKyle Thomas MullanChiropractor · (813) 409-3304

Enumeration DateApril 17, 2019

Last NPPES UpdateFebruary 27, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2026

✔ NPI 1386207272 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.

908 LITHIA PINECREST RD, Brandon, FL 33511

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Other Names 1

Doing Business AsBrandon Spine And Injury

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Champion Wellness Centers, Fishhawk, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Champion Wellness Centers, Fishhawk, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Kyle Mullan, DC

Chiropractic

NPI 1144855891

908 LITHIA PINECREST RD
Brandon, FL 33511

(813) 409-3304

Same address

Dalton Becker, DC

Chiropractic

NPI 1275280430

10081 E ADAMO DR
Tampa, FL 33619

(813) 438-6348

✔ Accepts Medicare4.1 mi

Jennifer Schueler

Chiropractic

NPI 1144678616

4341 LYNX PAW TRL
Valrico, FL 33596

(813) 409-3304

4.5 mi

Silver Faust, DC

Chiropractic

NPI 1881474575

4410 CHIMNEY CREEK DR
Sarasota, FL 34235

(941) 321-8803

✔ Accepts Medicare41 mi

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 Champion Wellness Centers, Fishhawk, LLC's NPI number?

The NPI number for Champion Wellness Centers, Fishhawk, LLC is 1386207272. It was assigned to this organization in the NPPES registry on April 17, 2019. The provider is doing business as Brandon Spine and Injury.

Where is Champion Wellness Centers, Fishhawk, LLC located?

Champion Wellness Centers, Fishhawk, LLC is located at 908 Lithia Pinecrest Rd, Brandon, FL 33511. The listed phone number is (813) 409-3304.

What is Champion Wellness Centers, Fishhawk, LLC's specialty?

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

Is Champion Wellness Centers, Fishhawk, LLC enrolled in Medicare?

Yes. Champion Wellness Centers, Fishhawk, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champion Wellness Centers, Fishhawk, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Champion Wellness Centers, Fishhawk, 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Champion Wellness Centers, Fishhawk, LLC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.