Provider Demographics
NPI:1427226802
Name:PEEPLES, BRANDIS SHALEECE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDIS
Middle Name:SHALEECE
Last Name:PEEPLES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8717 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4951
Mailing Address - Country:US
Mailing Address - Phone:718-372-3150
Mailing Address - Fax:
Practice Address - Street 1:930 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-3101
Practice Address - Country:US
Practice Address - Phone:718-230-3301
Practice Address - Fax:718-230-3396
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011085-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor