Brandon Back Pain Relief Chiropractic, LLC
NPI 1396035655ActiveOrganization· Chiropractor· Brandon, FL
Chiropractor in Brandon, Florida, registered in NPPES in April 2011. The authorized official on file is Chad F. Polley, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396035655 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2011 |
| Last updated in NPPES | Jul 26, 2022 |
| Certified by provider | Jul 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
| Chiropractor, Orthopedic | 111NX0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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