Provider Demographics
NPI:1235678707
Name:ZACHARY, BRANDY (DC, IFMCP)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:
Last Name:ZACHARY
Suffix:
Gender:F
Credentials:DC, IFMCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2872 YGNACIO VALLEY RD # 440
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3534
Mailing Address - Country:US
Mailing Address - Phone:925-788-6300
Mailing Address - Fax:
Practice Address - Street 1:2872 YGNACIO VALLEY RD # 440
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3534
Practice Address - Country:US
Practice Address - Phone:925-788-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28423111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractor