Pure Victory, LLC
Pure Victory, LLC is a healthcare organization registered as Chiropractor in Branson, MO, holding Type 2 (organization) NPI 1730403106 since 2010. The authorized official on file is Boaz Bandy, Doctor of Chiropractic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730403106 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pure Victory, LLC |
| Other name | <Unavail> |
| Practice address | 800 STATE HWY 248, SUITE 2-B, Branson, MO, 65616 |
| Phone | 4173377077 |
| Enumeration date | 2010-03-15 |
| Last updated in NPPES | 2012-07-24 |
Authorized official
| Name | Boaz Bandy |
|---|---|
| Title | Doctor of Chiropractic |
| Phone | 4173377077 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Primary | 2009032450 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265755227 | Other | MO | NPI TYPE I |
Copy-ready billing details
Provider: Pure Victory, LLC NPI: 1730403106 Taxonomy: 111N00000X (Chiropractor) Address: 800 STATE HWY 248, SUITE 2-B, Branson, MO, 65616
Verify this record
Cross-check NPI 1730403106 against the authoritative CMS record: view Pure Victory, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Pure Victory, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-07-24.