Healthcare Provider Details

I. General information

NPI: 1306553714
Provider Name (Legal Business Name): BRANDON JAMES DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 MERZ BLVD
FAIRLAWN OH
44333-2816
US

IV. Provider business mailing address

951 BRADY AVE
BARBERTON OH
44203-6607
US

V. Phone/Fax

Practice location:
  • Phone: 330-670-9400
  • Fax: 330-670-9401
Mailing address:
  • Phone: 330-715-8052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number04909
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number04909
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number04909
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: