Provider Demographics
NPI:1598972036
Name:SPIES, BRANDT L (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDT
Middle Name:L
Last Name:SPIES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 GULF FWY S STE G1
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3957
Mailing Address - Country:US
Mailing Address - Phone:281-535-5673
Mailing Address - Fax:832-932-5490
Practice Address - Street 1:212 GULF FWY S STE G1
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3957
Practice Address - Country:US
Practice Address - Phone:281-535-5673
Practice Address - Fax:832-932-5490
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10641111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
7482969OtherAETNA
1081532OtherAMERICAN SPECIALTY HEALTH
TX208004601Medicaid
TX8AD330OtherBLUE CROSS BLUE SHIELD OF TEXAS
11755325OtherCAQH
1920926OtherCIGNA
710402OtherUNITED HEALTHCARE