BRANDON LEE WHITE (NPI# 1053665596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053665596 |
| Entity Type | Individual |
| Full Name | BRANDON LEE WHITE |
| Credential | D.C. |
| Practice Address |
1151 East Highway 40 Roosevelt UT 84066 |
| Mailing Address |
Po Box 1780 Roosevelt UT 84066-1780 |
| Practice Telephone | 4354599828 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8432483-1202 | UT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502430 | Brandon White | Physical Therapist | 2536 Highway 49 E Ste 130, Pleasant View, TN 37146-7160 | 2020-06-09 |
| 1811558620 | Brandon Lynn White | Anesthesiology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-23 |
| 1730669656 | Brandon White | Physical Therapy Assistant | 1401 Hampton Rd, Texarkana, TX 75503-4600 | 2018-08-20 |
| 1477045839 | Brandon White | Social Worker | 30101 Hoover Rd Ste 1, Warren, MI 48093-6572 | 2018-06-01 |
| 1285088401 | Brandon Michael White | Community Health Worker | 160 Pedro Way, Winchester, KY 40391-8354 | 2016-04-14 |
| 1295168078 | Brandon C White | Pharmacist | 3605 E Johnson Ave, Jonesboro, AR 72401-1808 | 2013-08-15 |
| 1578902904 | Brandon Keith White | Dentist | 8642 Forest Rd, Goode, VA 24556-3027 | 2013-06-19 |
| 1235463803 | Brandon D White | Internal Medicine | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2009-09-29 |
| 1396988069 | Brandon M White | Pediatrics | 701 Hospital Loop, Fairchild Afb, WA 99011 | 2009-04-10 |
| 1336325505 | Brandon Adam White | Dentist | 727 N Main St, Ashland, OR 97520-1752 | 2008-01-17 |
| Street Address |
1151 EAST HIGHWAY 40 |
| City | ROOSEVELT |
| State | UT |
| Zip Code | 84066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508110040 | Uintah Basin Spine and Disc Center, PC | Rehabilitation Unit | 1151 East Highway 40, Roosevelt, UT 84066 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075315 | Annemarie Rousseau | Registered Nurse | 250 West 300 North, Roosevelt, UT 84066 | 2017-07-12 |
| 1780036772 | Drew Gilley | Dentist | 375 E Lagoon St, Roosevelt, Ut 84066, Roosevelt, UT 84066 | 2016-07-01 |
| 1952758039 | Amanda Adams | Massage Therapist | 1151 East Hwy 40, Ballard, UT 84066 | 2016-05-19 |
| 1447624325 | Gregory George Page | Dentist | 209 West 200 North 71-2, Roosevelt, UT 84066 | 2015-11-16 |
| 1659785772 | Becky Ann Birch | Nurse Practitioner | 200 West 350 North, Ste 103, Roosevelt, UT 84066 | 2014-06-17 |
| 1760724280 | Novo Ranch LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3549 W 1000 North, Roosevelt, UT 84066 | 2013-03-22 |
| 1184918682 | Alvaro Beltran | Dentist | Ave. Lopez Mateos 171-4, Nogales, SONORA 84066 | 2011-06-02 |
| 1255638367 | Cosme Cantu | Dentist | Blvd. El Greco #45 Int. J-14, Nogales, SONORA 84066 | 2011-02-25 |
| 1740482009 | Northeastern Utah Medical Group | Durable Medical Equipment & Medical Supplies | 210 W 300 N 75 3, Roosevelt, UT 84066 | 2007-05-31 |
| 1851436471 | Dan Ray Robinson | Dentist | 675 South Rodeo Drive, Roosevelt, UT 84066 | 2007-02-21 |
| Find all providers in zip 84066 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679951263 | Leading Edge Chiropractic, Inc | Chiropractor | 301 S 200 E, Suite 1, Roosevelt, UT 84066-3129 | 2015-05-14 |
| 1427129105 | J. Dean Fitzgerald | Chiropractor | 375 E Lagoon St, Roosevelt, UT 84066-3017 | 2006-11-13 |
| 1306885967 | George Alfred Hartle | Chiropractor | 383 E Lagoon St, Roosevelt, UT 84066-3017 | 2006-06-06 |
| 1043551757 | Roosevelt Chiropractic, P.C. | Chiropractor | 383 E Lagoon St, Roosevelt, UT 84066-3017 | 2013-03-05 |
| 1023392248 | Hartle Chiropractic Clinic, Inc. | Chiropractor | 383 E Lagoon St, Roosevelt, UT 84066-3017 | 2011-10-06 |
| 1700989746 | Michael Mckeough Campbell | Chiropractor | 383 E Lagoon St, Roosevelt, UT 84066-3017 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972412 | Lindsay June Hall | Chiropractor | 613 E Fort Union Blvd, Midvale, UT 84047-5531 | 2020-11-06 |
| 1437758968 | Jonathan Porter | Chiropractor | 6243 S Redwood Rd Ste 230, Taylorsville, UT 84123-6410 | 2020-10-26 |
| 1114525748 | Ryan Scott Clark | Chiropractor | 1416 N Redwood Rd Ste B, Saratoga Springs, UT 84045-6455 | 2020-10-15 |
| 1588262430 | Crux Sport & Spine | Chiropractor | 922 E Brigham Rd Bldg 5c, St George, UT 84790-8751 | 2020-10-13 |
| 1184230385 | Shelton Chiropractic | Chiropractor | 428 N State Road 198 Ste B, Salem, UT 84653-4605 | 2020-09-22 |
| 1104430388 | Saratoga Chiropractic | Chiropractor | 1305 N Commerce Dr Ste 200, Saratoga Springs, UT 84045-5310 | 2020-09-03 |
| 1982218442 | Draney Chiropractic | Chiropractor | 7613 S Jordan Landing Blvd Ste 120, West Jordan, UT 84084-1973 | 2020-09-02 |
| 1770191694 | Elevate Functional Health, LLC | Chiropractor | 667 Sweetspring Dr, Santa Clara, UT 84765-5469 | 2020-07-16 |
| 1730707043 | Brennan Fife Bushman | Chiropractor | 2464 W 12600 S Ste 100, Riverton, UT 84065-7274 | 2020-07-13 |
| 1659998474 | Michael Alan Alsop | Chiropractor | 1910 N 135 W, Orem, UT 84057-2103 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.