Organization Active NPI

Complete Chiropractic, PC

  • Chiropractor
  • North Charleston, SC
National Provider Identifier
1215418835
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4215 Issued in SC
Legal business name
COMPLETE CHIROPRACTIC, PC
Practice address
2409 Mall Dr Ste C
North Charleston, SC 29406-6506
Phone
(843) 297-4907
Fax
(854) 444-2998
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. Brantley T Meier, DCNPI 1811429269
Title
Owner/Chiropractor
Phone
(843) 297-4907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4215 SC Primary

Addresses

Primary practice location

2409 Mall Dr Ste C
North Charleston, SC 29406-6506

Mailing address

2409 Mall Dr Ste C
North Charleston, SC 29406-6506
Phone (843) 297-4907

Other names 1

  • The Bridge Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190124000447 SC Part B Supplier - Clinic/Group Practice 9335486604 Receives reassigned benefits from 1 practitioner
Practice locations: N Charleston, SC

National Provider Directory

National Provider Directory

Locations

2409 Mall Dr
Ste C
North Charleston, SC 29406
Phone (843) 297-4907

Practitioners & affiliated clinicians

Practitioners 1

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": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1215418835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 MALL DR STE C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066506",
            "telephone_number": "843-297-4907",
            "fax_number": "854-444-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MALL DR STE C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066506",
            "telephone_number": "843-297-4907",
            "fax_number": "854-444-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "BRANTLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "843-297-4907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bridge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.