Branson Chiropractic Center P.C.
Organization Active NPI Chiropractor · Branson, MO
NPI 1174784342 · NPPES record last updated Jun 23, 2008
Key facts
- NPI
- 1174784342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 006560 (MO)
- Legal business name
- BRANSON CHIROPRACTIC CENTER P.C.
- Practice address
- 120 E Price St
Branson, MO 65616-3028 - Phone
- (417) 334-4441
- NPI assigned
- Jun 20, 2008
- Organization subpart
- No
Authorized official
- Name
- James H Thress, D.C.
- Title
- Chiropractor
- Phone
- (417) 334-4441
Practitioners 1
-
James Herman Thress, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080715000410 | MO | Part B Supplier - Clinic/Group Practice | 5991878589 |
Receives reassigned benefits from 1 practitioner Practice locations: Branson, MO |
National Provider Directory
Locations
120 E Price St
Branson, MO 65616
Phone (417) 334-4441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 006560 | MO | Yes |
Addresses
Primary practice location
120 E Price St
Branson, MO 65616-3028
Mailing address
120 East Price St
Branson, MO 65616
Phone (417) 334-4441
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 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.