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BRANT PEDERSEN D.C. NPI 1902000979


NPI Information

NPI: 1902000979
Provider Name: BRANT PEDERSEN, D.C.
Classification: Chiropractor - 111NS0005X
Entity Type: Individual

Specialization: Sports Physician

Address:
15951 LOS GATOS BLVD.
SUITE 3
LOS GATOS, CA
ZIP 95032
Phone: (408) 358-5086
Get Directions

Brant Pedersen, D.C. is a sports physician chiropractor in Los Gatos, CA with 20 years of experience. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. Brant Pedersen, D.C. NPI is 1902000979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduation Year:2004

The provider's business location address is:

15951 LOS GATOS BLVD.
SUITE 3
LOS GATOS, CA
ZIP 95032-428
Phone: (408) 358-5086
Fax: (408) 358-5099

The enumeration date for this NPI number is 6/13/2007 and was last updated on 7/9/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC-29419CALIFORNIANo
2111NS0005XChiropractorSports PhysicianDC-29419CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V05582MEDICARE UPINCALIFORNIA
2DC0294190MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPART B - NON-PAR

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.