Family Chiropractic Care Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008384 Issued in GA

Legal business name

FAMILY CHIROPRACTIC CARE INC.

Practice address

3405 Cypress Mill Rd
Brunswick, GA 31520-2857

Phone

(912) 265-0311

Fax

(912) 265-0388

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Harry Charles Broyles, D.C.NPI 1609031624

Title

Owner

Phone

(912) 265-0311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Harry Charles Broyles, D.C.

  • Chiropractor
  • Brunswick, GA
  • NPI 1609031624

  GA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1134429913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 CYPRESS MILL RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202857",
            "telephone_number": "912-265-0311",
            "fax_number": "912-265-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 CYPRESS MILL RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202857",
            "telephone_number": "912-265-0311",
            "fax_number": "912-265-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-265-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Seyreen Faisal, M.D.
• Daniel Adrian Fajardo, MD
• Family Dental of Brunswick LLC
• Family Health Chiropractic
• Family Home Medical Equipment, LLC
• Family Medicine Professionals Inc
• Family Practitioners of Glynn, PC

• All providers in Brunswick, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.