Active NPI
Bryan S Aldrich, DC
- Chiropractor
- Goose Creek, SC
National Provider Identifier
1053353979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3134
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| X-008982 | NY | MD | Chiropractor |
| 3134 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy4Life Integrated Medicine, Inc | Chiropractor | Current | Accepting new patients |
| Kathleen Grabowski | Past | Accepting new patients | |
| Aldrich Chiropractic, PC | Chiropractor | Past | 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.
-
- General Practice Physician
- Goose Creek, SC
- NPI 1740460526
-
- Chiropractor
- Tonawanda, NY
- NPI 1235299868
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.