Provider Demographics
NPI:1174789432
Name:NEVEL, BRANDON TRAVIS (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:TRAVIS
Last Name:NEVEL
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 1:401 MAPLEWOOD DR
Mailing Address - Street 2:UNIT 6
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5849
Mailing Address - Country:US
Mailing Address - Phone:561-575-2075
Mailing Address - Fax:561-575-5232
Practice Address - Street 1:401 MAPLEWOOD DR
Practice Address - Street 2:UNIT 6
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5849
Practice Address - Country:US
Practice Address - Phone:561-575-2075
Practice Address - Fax:561-575-5232
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor