Accident & Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

808 Issued in SC

Legal business name

ACCIDENT & FAMILY CHIROPRACTIC LLC

Practice address

134 Garner Rd
Suite D
Spartanburg, SC 29303-3132

Phone

(864) 583-8113

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Beverly Jean Bourgeois, DC,BSNNPI 1386652618

Title

VP

Phone

(864) 583-8113

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Jean Bourgeois, D.C.

  • Chiropractor
  • Spartanburg, SC
  • NPI 1386652618
  NPD (past) Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1194916080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GARNER RD",
            "address_2": "SUITE D",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033132",
            "telephone_number": "864-583-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GARNER RD",
            "address_2": "SUITE D",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033132",
            "telephone_number": "864-583-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT & FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "864-583-8113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,BSN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.