Individual provider · Type 1 NPI

Brant Pedersen, DC

Sports Physician Chiropractor · Los Gatos, CA

NPI number 1902000979 Active

Practice location

15951 Los Gatos Blvd., Suite 3
Los Gatos, CA 95032-3428

Fax (408) 358-5099

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XDC-29419 (CA)
Sports Physician Chiropractor Primary 111NS0005XDC-29419 (CA)

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

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About NPI 1902000979

Brant Pedersen, DC's National Provider Identifier is 1902000979, issued on Jun 13, 2007. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Los Gatos, CA. The record was last updated on Jul 9, 2015.