Chiropractic Specialist of Brevard, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROPRACTIC SPECIALIST OF BREVARD, INC.

Doing business as

Suntree Chiropractic

Practice address

130 Interlachen Rd
Suite D
Melbourne, FL 32940-1994

Phone

(321) 622-6778

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Aaron M Gray, D.C.NPI 1235113846

Title

President

Phone

(321) 622-6778

Specialties & licenses 1

Addresses

Other names 1

• Suntree Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Aaron Gray, D.C.

  • Chiropractor
  • Melbourne, FL
  • NPI 1235113846
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1104191428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 SILVER LAKE DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401952",
            "telephone_number": "321-622-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INTERLACHEN RD",
            "address_2": "SUITE D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401994",
            "telephone_number": "321-622-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPECIALIST OF BREVARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-622-6778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suntree Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractic Envy Health & Wellness
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• Charles H. Chodorow, D.O.
• Kathleen Chodur
• Ivy Chong, PHD
• Sarah Choo-Yick, MD

• Chiropractor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.