Organization Active NPI

Braun Chiropractic Center

  • Chiropractor
  • Gregory, SD
National Provider Identifier
1104962794
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
577 Issued in SD
Legal business name
BRAUN CHIROPRACTIC CENTER
Practice address
114 E 6TH St
Gregory, SD 57533
Phone
(605) 835-8737
Fax
(605) 835-8738
NPI assigned
Jan 30, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Marvin D Braun, DCNPI 1750473120
Title
Owner
Phone
(605) 835-8737

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
Chiropractor 111N00000X 577 SD Primary

Addresses

Primary practice location

114 E 6TH St
Gregory, SD 57533

Mailing address

114 E 6TH St
Gregory, SD 57533
Phone (605) 835-8737

Other identifiers 3

IdentifierTypeStateIssuer
7602290MedicaidSD
10025344000OtherNEMEDICAID
4993646OtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1104962794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 6TH ST",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "57533",
            "telephone_number": "605-835-8737",
            "fax_number": "605-835-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 6TH ST",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "57533",
            "telephone_number": "605-835-8737",
            "fax_number": "605-835-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAUN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-835-8737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602290",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "10025344000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4993646",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gregory, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.