Organization Active NPI

Bratcher Chiropractic Diagnostic Center PC

  • Rehabilitation Chiropractor
  • Tyler, TX
National Provider Identifier
1154638864
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
BRATCHER CHIROPRACTIC DIAGNOSTIC CENTER PC
Practice address
2140 Grande Blvd
Suite a
Tyler, TX 75703-0563
Phone
(903) 561-6676
Fax
(903) 561-7071
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Ms. Erica Lindley
Title
Office Manager
Phone
(903) 561-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X TX Primary

Addresses

Primary practice location

2140 Grande Blvd
Suite a
Tyler, TX 75703-0563

Mailing address

2140 Grande Blvd
Suite a
Tyler, TX 75703-0563
Phone (903) 561-6676

Other names 1

  • Bratcher Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2140 W Grande Blvd
#A
Tyler, TX 75703
Phone (903) 251-2765

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1154638864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 GRANDE BLVD",
            "address_2": "SUITE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030563",
            "telephone_number": "903-561-6676",
            "fax_number": "903-561-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 GRANDE BLVD",
            "address_2": "SUITE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030563",
            "telephone_number": "903-561-6676",
            "fax_number": "903-561-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRATCHER CHIROPRACTIC DIAGNOSTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "LINDLEY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-561-6676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bratcher Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.