Brookhaven Chiropractic Center, PLLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

1858 Issued in TN

Legal business name

BROOKHAVEN CHIROPRACTIC CENTER, PLLC

Practice address

721 W Brookhaven Cir
Memphis, TN 38117-4503

Phone

(901) 767-8077

Fax

(901) 767-8861

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard Nolan Hathcock, D.C.NPI 1366412447

Title

Owner

Phone

(901) 767-8077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard N Hathcock, D.C.

  • Chiropractor
  • Memphis, TN
  • NPI 1366412447
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1043448632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W BROOKHAVEN CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174503",
            "telephone_number": "901-767-8077",
            "fax_number": "901-767-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W BROOKHAVEN CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174503",
            "telephone_number": "901-767-8077",
            "fax_number": "901-767-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "HATHCOCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-767-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "TN",
            "license": "1858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan George Brody, M.D.
• Howard Bromley, MD
• Alberto Broniscer, MD
• Natasha Bronson-Woods, NP
• Michael Stuart Bronstein, M.D.
• Brookhaven Medical Clinic PC
• Charita K Brookins, DPH
• Patricia Ann Brookins, COTA
• Christie Brooks, M.D.
• Claude M Brooks, BS

• Community Health Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Community Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.