Graham Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2158 Issued in MA

Legal business name

GRAHAM CHIROPRACTIC CENTER INC

Practice address

34 Long Pond Rd
Plymouth, MA 02360

Phone

(508) 747-1434

Fax

(508) 747-0772

NPI assigned

Nov 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan B Graham, DCNPI 1083708937

Title

Owner

Phone

(508) 747-1434

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Burk Graham, D.C., C.C.S.P

  • Sports Physician Chiropractor
  • Plymouth, MA
  • NPI 1083708937
  Medicare reassignment Care Compare group NPD Authorized official
• Ashleigh Gaffoor, DC

  • Chiropractor
  • Plymouth, MA
  • NPI 1083213896
  Medicare reassignment Care Compare group NPD
• Amity Bubbins, D.C.

  • Chiropractor
  • Plymouth, MA
  • NPI 1518250083
  NPD (past)
• Julie Michelle Sieben, D.C.

  • Gerontology Nurse Practitioner
  • Dennis, MA
  • NPI 1396077764

  Chiropractor

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1023188141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LONG POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-747-1434",
            "fax_number": "508-747-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LONG POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-747-1434",
            "fax_number": "508-747-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-747-1434",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2158",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "2158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y45593",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "698922",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Marie Gouveia
• Bethany Governo
• Devon Govoni
• David Grace, M.D.
• Deborah F Grace, LICSW
• Aleathia D Graham, CLINICIAN INTERN
• Bryan Burk Graham, D.C., C.C.S.P
• Elizabeth Graham
• Ashley Granger, BA
• Diana Carol Granger, M.S. CCC-SLP

• Chiropractor in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.