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BRANDON GRIMM D.C. P.A. NPI 1619059060


NPI Information

NPI: 1619059060
Provider Name: BRANDON GRIMM D.C. P.A.

Doing Business As: CANYON CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
14812 SOUTH ACCESS ROAD
CANYON LAKE, TX
ZIP 78133
Phone: (830) 907-3811
Get Directions

BRANDON GRIMM D.C. P.A. is a chiropractor in Canyon Lake, TX. The provider is 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. BRANDON GRIMM D.C. P.A. NPI is 1619059060. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Canyon Chiropractic.

The provider's business location address is:

14812 SOUTH ACCESS ROAD
CANYON LAKE, TX
ZIP 78133
Phone: (830) 907-3811
Fax: (830) 907-3812

The provider's authorized official is Brandon W Grimm .
The authorized official title is President/owner and has the following contact phone number (830) 907-3811.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor9268TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11033146170OTHERTEXASINDIVIDUAL NPI #
28U9450OTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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