Breslow Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR003006 Issued in GA

Legal business name

BRESLOW CHIROPRACTIC CLINIC

Practice address

3500 Duluth Park LN
810
Duluth, GA 30096-3242

Phone

(770) 813-1811

Fax

(770) 813-1822

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Breslow, DCNPI 1669533535

Title

President

Phone

(770) 813-1811

Specialties & licenses 1

Addresses

Other identifiers 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.

• Scott L Breslow, DC

  • Chiropractor
  • Duluth, GA
  • NPI 1669533535
  Authorized official Same address or phone

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1053752758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN",
            "address_2": "810",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963242",
            "telephone_number": "770-813-1811",
            "fax_number": "770-813-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN",
            "address_2": "810",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963242",
            "telephone_number": "770-813-1811",
            "fax_number": "770-813-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRESLOW CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "BRESLOW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-813-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR003006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "35ZCBVG",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Abigail Grace Brice
• Bridgewater Solutions Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.