Brodwyn Spine Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRODWYN SPINE CENTER LLC

Practice address

8132 Veterans Pkwy
Columbus, GA 31909-1801

Phone

(770) 710-0327

Fax

(770) 695-0348

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael Haniotis, DCNPI 1275829657

Title

Partner

Phone

(770) 710-0327

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Michael Haniotis, DC

  • Chiropractor
  • Columbus, GA
  • NPI 1275829657
  Medicare reassignment NPD Authorized official
• Kenneth S Calain, DC

  • Chiropractor
  • Tallapoosa, GA
  • NPI 1265579957
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1023860129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091801",
            "telephone_number": "770-710-0327",
            "fax_number": "770-695-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091801",
            "telephone_number": "770-710-0327",
            "fax_number": "770-695-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODWYN SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "HANIOTIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-710-0327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyssa Broadnex
• Chandler Brock
• Dawn Brock
• Taylor Mackenzie Brock
• Brodwyn Military Chiropractic
• Ivan Jay Brodwyn, DC
• Colvin Jeffrey Brogdon, LPC, NCC
• Lois E Bronersky-Enumah, MD
• Candice Brookins
• Stephanie Marie Brookins, MS, NCC, LPC

• Chiropractor in Columbus, GA
• Providers in Columbus, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.