Brantley Chiropractic, PC
Organization Active NPI Chiropractor · North Augusta, SC
NPI 1124034954 · NPPES record last updated Jun 5, 2008
Key facts
- NPI
- 1124034954
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BRANTLEY CHIROPRACTIC, PC
- Practice address
- 420 West Ave
North Augusta, SC 29841-3620 - Phone
- (803) 202-0202
- Fax
- (803) 202-0201
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Julie Brantley Blankenship, DC
- Title
- President/Chiropractor
- Phone
- (803) 202-0202
Practitioners 8
-
Robert Bruce Mall, D.C.,B.C.A.O.
-
Dawn Matee Hutto, DC
-
Erika M Shoener, D. C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050509000089 | SC | Part B Supplier - Clinic/Group Practice | 9739129883 |
Receives reassigned benefits from 3 practitioners Practice locations: N Augusta, SC |
National Provider Directory
Locations
420 West Ave
North Augusta, SC 29841
Phone (803) 202-0202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | SC | Yes |
Addresses
Primary practice location
420 West Ave
North Augusta, SC 29841-3620
Mailing address
420 West Ave
North Augusta, SC 29841-3620
Phone (803) 202-0202
Other providers in North Augusta, SC
- Amanda Johnson Boland
- Brynn Bonner
- Whitney Monique Boston
- Cindy Jean Boudreaux
- Rene Boylston
- Abigail Brantley
- Andrea M Breazeale
- Joy Elizabeth Britt
- Shannon E Brockwell
- Jeffrey N Broder
All providers in North Augusta, 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 Jun 5, 2008. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.