DR. BRANDON HETH GILLENWATER (NPI# 1386964385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386964385 |
| Entity Type | Individual |
| Full Name | DR. BRANDON HETH GILLENWATER |
| Credential | D.C. |
| Practice Address |
719 Commonwealth Ave #3 Bristol VA 24201-3360 |
| Practice Telephone | 2764945259 |
| Mailing Telephone | 2764945259 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2012-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104556807 | VA | Chiropractic Providers |
| Street Address |
719 COMMONWEALTH AVE #3 |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306280987 | Patricia Starbird | Counselor | 719 Commonwealth Ave, Suite 3, Bristol, VA 24201-3360 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| 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 |
|---|---|---|---|---|
| 1740807932 | Mohr Chiropractic | Chiropractor | 20 N Cannonball Trl, Bristol, IL 60512-9770 | 2020-07-03 |
| 1356996250 | Astrid Aime Baldrich-sanchez | Chiropractor | 22 Pine St Ste 216, Bristol, CT 06010-6950 | 2019-08-07 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1609145333 | Miller Family & Sports Chiropractic, LLC | Chiropractor | 3101 Lee Hwy Ste 6, Bristol, VA 24202-5958 | 2011-12-27 |
| 1881909794 | Hoffmann Chiropractic Inc | Chiropractor | 450 Hope Street, Bristol, RI 02809 | 2010-08-16 |
| 1427207182 | Chiropractic Health & Wellness PC | Chiropractor | 14 School St., Suite 105, Bristol, VT 05443 | 2008-09-17 |
| 1710171780 | Schumacher Family | Chiropractor | 800 Hill St, Bristol, TN 37620-0001 | 2007-08-31 |
| 1457475436 | Cecil Eugene Collins Jr. | Chiropractor | 1504 Virginia Ave, Bristol, TN 37620-5163 | 2007-03-16 |
| 1043342306 | Brenda K Wright | Chiropractor | 120 Douglas Lane, Bristol, TN 37620-7212 | 2007-03-12 |
| 1184752545 | David Michael Sequino | Chiropractor | 576 Metacom Ave. #3, Bristol, RI 02809-5100 | 2007-02-28 |
| Find all providers in BRISTOL | ||||
Please comment or provide details below to improve the information on DR. BRANDON HETH GILLENWATER.
| 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.