Southern Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10446 Issued in TX

Legal business name

SOUTHERN CHIROPRACTIC CLINIC LLC

Practice address

3513 W Alberta Rd
Edinburg, TX 78539-8466

Phone

(956) 627-0385

Fax

(956) 627-0399

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Gessner, D.C.

Title

Clinic Doctor

Phone

(956) 627-0385

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1053777292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 W ALBERTA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398466",
            "telephone_number": "956-627-0385",
            "fax_number": "956-627-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 W ALBERTA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398466",
            "telephone_number": "956-627-0385",
            "fax_number": "956-627-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "GESSNER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CLINIC DOCTOR",
        "authorized_official_telephone_number": "956-627-0385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.