Osborne Chiropractic Clinic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2871 Issued in NC

Legal business name

OSBORNE CHIROPRACTIC CLINIC, PA

Practice address

5603 Duraleigh Rd Ste 101
Raleigh, NC 27612-2688

Phone

(919) 571-7311

Fax

(919) 783-7835

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Bryan Carl Osborne, DC

Title

Owner/ President

Phone

(919) 571-7311

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1245264217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 DURALEIGH RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122688",
            "telephone_number": "919-571-7311",
            "fax_number": "919-783-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 DURALEIGH RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122688",
            "telephone_number": "919-571-7311",
            "fax_number": "919-783-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE CHIROPRACTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "919-571-7311",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "085CR",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maritza Ortiz, EMT-B
• Gregory Ortman, RBT
• Molly Ortman
• Nicomedes Garcia Osalvo, PA-C
• Lindsay Paige Osborn, MD
• Brooke Amber Osborne, PA-C
• Bryan Carl Osborne, DC
• Donald Osborne
• Karen Lynn Osborne, COT
• Tyra Oscar-Garrison

• Chiropractor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.