NPIMap

Organization Active NPI

JFB Enterprises, LLC

Doing business as Willis Chiro Med

  • Chiropractor
  • Hartsville, SC
National Provider Identifier
1225160302
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2622 Issued in SC
Legal business name
JFB ENTERPRISES, LLC
Doing business as
Willis Chiro Med
Practice address
331 S Fourth St
Hartsville, SC 29550-4307
Phone
(843) 332-6191
Fax
(843) 332-4408
NPI assigned
Mar 12, 2007
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. John F Bryan Jr., D.C.NPI 1982650255
Title
Owner
Phone
(843) 332-6191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2622 SC Primary

Addresses

Primary practice location

331 S Fourth St
Hartsville, SC 29550-4307

Mailing address

331 S Fourth St
Hartsville, SC 29550-4307
Phone (843) 332-6191

Other identifiers 1

IdentifierTypeStateIssuer
CH2622MedicaidSC

Other names 1

  • Willis Chiro Med Doing business as

National Provider Directory

National Provider Directory

Locations

307 E Carolina Ave
Hartsville, SC 29550
Phone (843) 332-6191

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1225160302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S FOURTH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504307",
            "telephone_number": "843-332-6191",
            "fax_number": "843-332-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S FOURTH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504307",
            "telephone_number": "843-332-6191",
            "fax_number": "843-332-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFB ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-332-6191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2622",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis Chiro Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.