Active NPI
Brent D Carraway, DC
- Chiropractor
- Manning, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1857
- Practice address
- 601 B South Mill Street
Manning, SC 29102 - Phone
- (803) 435-4050
- Fax
- (803) 435-8096
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1857 | SC | Primary |
Addresses
Primary practice location
601 B South Mill Street
Manning, SC 29102
Mailing address
711 Bultman Drive
Sumter, SC 29150
Phone (803) 773-3421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
711 Bultman Dr
Sumter, SC 29150-2516
Phone (803) 773-3421
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857 | SC | MD | Chiropractor |
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Manning, SC
- NPI 1205284411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104996255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 BULTMAN DRIVE",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-773-3421",
"fax_number": "803-773-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 B SOUTH MILL STREET",
"city": "MANNING",
"state": "SC",
"postal_code": "29102",
"telephone_number": "803-435-4050",
"fax_number": "803-435-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRAWAY",
"first_name": "BRENT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manning, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.