BRANT PEDERSEN D.C.
NPI 1902000979
Chiropractor - Sports Physician in Los Gatos, CA

Active since June 13, 2007
15951 LOS GATOS BLVD., SUITE 3, LOS GATOS, CA 95032(408) 358-5086(408) 358-5099 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brant Pedersen D.c. NPPES

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

BRANT PEDERSEN D.C. (NPI 1902000979) is an individual sports physician in Los Gatos, California, licensed in California (DC-29419) and active in the NPI registry since June 2007. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2004).

NPPES Registry Identity

NPI1902000979
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameBRANT PEDERSENCredential: D.C.
Location Address15951 LOS GATOS BLVD., SUITE 3Los Gatos, CA 95032-3428
Mailing Address15951 Los Gatos Blvd., Suite 3Los Gatos, CA 95032-3428 · (408) 358-5086 · Fax (408) 358-5099
Fax(408) 358-5099
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2004
Enumeration DateJune 13, 2007
Last NPPES UpdateJuly 9, 2015
NPI 1902000979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in CA · DC-29419
Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Also ListedChiropractorTaxonomy 111N00000X · License DC-29419 (CA)
15951 LOS GATOS BLVD., Los Gatos, CA 95032

Other Identifiers 2

Medicare UPINV05582CA
Medicare ID-Type UnspecifiedDC0294190CA · Part B - Non-par

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brant Pedersen D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284661612
PECOS Enrollment IDI20151116001762

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
161 services28 patients

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 Brant Pedersen's NPI number?

The NPI number for Brant Pedersen is 1902000979. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Brant Pedersen located?

Brant Pedersen practices at 15951 Los Gatos Blvd. Suite 3, Los Gatos, CA 95032. The listed phone number is (408) 358-5086.

What is Brant Pedersen's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Brant Pedersen enrolled in Medicare?

Yes. Brant Pedersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brant Pedersen was last updated on July 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.