NPIMap

Organization Active NPI

Freedom Chiropractic, PLLC

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1083783377
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3439 Issued in SC
Legal business name
FREEDOM CHIROPRACTIC, PLLC
Practice address
679 Orangeburg Rd
Suite a
Summerville, SC 29483-8914
Phone
(843) 832-4499
Fax
(843) 832-4978
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Dr. Brian Charles Froehly, DCNPI 1871750430
Title
Dr Member PLLC
Phone
(843) 832-4499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3439 SC Primary

Addresses

Primary practice location

679 Orangeburg Rd
Suite a
Summerville, SC 29483-8914

Mailing address

679 Orangeburg Rd
Suite a
Summerville, SC 29483-8914
Phone (843) 832-4499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091021000023 SC Part B Supplier - Clinic/Group Practice 4183761398 Receives reassigned benefits from 2 practitioners
Practice locations: Summerville, SC

National Provider Directory

National Provider Directory

Locations

679 Orangeburg Rd
Unit A
Summerville, SC 29483
Phone (843) 832-4499

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1083783377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 ORANGEBURG RD",
            "address_2": "SUITE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838914",
            "telephone_number": "843-832-4499",
            "fax_number": "843-832-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 ORANGEBURG RD",
            "address_2": "SUITE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838914",
            "telephone_number": "843-832-4499",
            "fax_number": "843-832-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "FROEHLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DR MEMBER PLLC",
        "authorized_official_telephone_number": "843-832-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.