Individual provider Active NPI

Bryan S Aldrich, DC

  • Chiropractor
  • Goose Creek, SC
National Provider Identifier
1053353979
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3134 Issued in SC
Practice address
118 Springhall Dr Ste a
Goose Creek, SC 29445-5360
Phone
(843) 735-7115
Fax
(843) 735-7114
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X-008982 NY
Chiropractor 111N00000X 3134 SC Primary

Addresses

Primary practice location

118 Springhall Dr Ste a
Goose Creek, SC 29445-5360

Mailing address

118 Springhall Dr Ste a
Goose Creek, SC 29445-5360
Phone (843) 735-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061128000581 SC Practitioner - Chiropractic 8820062862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

118 Springhall Dr
Suite a
Goose Creek, SC 29445-5360
Phone (843) 735-7115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-008982NYMDChiropractor
3134SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy4Life Integrated Medicine, Inc Chiropractor CurrentSince May 31, 2009 Accepting new patients
Kathleen Grabowski PastSince May 31, 2009 Accepting new patients
Aldrich Chiropractic, PC Chiropractor PastSince Sep 15, 2004 Accepting new patients

Locations

118 Springhall Dr
Ste D
Goose Creek, SC 29445
Phone (843) 735-7115

118 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 376-3112

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1053353979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SPRINGHALL DR STE A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455360",
            "telephone_number": "843-735-7115",
            "fax_number": "843-735-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SPRINGHALL DR STE A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455360",
            "telephone_number": "843-735-7115",
            "fax_number": "843-735-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "BRYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-008982",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.