Provider Demographics
NPI:1457163362
Name:GESSERT, BRANDON NICHOLAS (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:NICHOLAS
Last Name:GESSERT
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 1:3011 CITRUS CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2671
Mailing Address - Country:US
Mailing Address - Phone:925-947-1507
Mailing Address - Fax:
Practice Address - Street 1:3011 CITRUS CIR STE 102
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2671
Practice Address - Country:US
Practice Address - Phone:925-947-1507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35069111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician