Brent D Carraway, DC
Individual provider Active NPI Chiropractor · Manning, SC
NPI 1104996255 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104996255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1857 (SC)
- Practice address
- 601 B South Mill Street
Manning, SC 29102 - Phone
- (803) 435-4050
- Fax
- (803) 435-8096
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Health and Injury Clinic
Practice addresses (Care Compare)
711 Bultman Dr
Sumter, SC 29150-2516
Phone (803) 773-3421
Hospital & facility affiliations
- McLeod Health Clarendon
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050919000847 | SC | Practitioner - Chiropractic | 4486688512 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Health & Injury Clinic | Chiropractor | Current |
Accepting new patients |
Locations
601 S Mill St
#B
Manning, SC 29102
Phone (803) 435-4050
711 Bultman Dr
Sumter, SC 29150
Phone (803) 773-3421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1857 | SC | Yes |
Addresses
Primary practice location
601 B South Mill Street
Manning, SC 29102
Mailing address
711 Bultman Drive
Sumter, SC 29150
Phone (803) 773-3421
Other providers in Manning, SC
- Caring Home Care Agency LLC
- Carl D. Geier MD LLC
- Carolina Cataract Clinic
- Carolina Consultants LLC
- Carolina Family Practice
- Jamie L Carter
- Rebecca Ann Cartledge
- Susan Edith Caulkins
- Kerry Chandler
- Thomas Mark Chappell
All providers in Manning, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.