NPIMap

Organization Active NPI

Clover Chiropractic LLC

  • Chiropractor
  • Clover, SC
National Provider Identifier
1265854269
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
842 Issued in SC
Legal business name
CLOVER CHIROPRACTIC LLC
Practice address
225 Church St
Clover, SC 29710-1008
Phone
(803) 222-2323
Fax
(803) 222-2323
NPI assigned
Jan 9, 2014
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Scott W Brodnax, D.C.NPI 1922006634
Title
President
Phone
(803) 222-2323

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
Chiropractor 111N00000X 842 SC Primary

Addresses

Primary practice location

225 Church St
Clover, SC 29710-1008

Mailing address

225 Church St
Clover, SC 29710-1008
Phone (803) 222-2323

National Provider Directory

National Provider Directory

Locations

225 Church St
Clover, SC 29710
Phone (803) 222-2323

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": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1265854269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CHURCH ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101008",
            "telephone_number": "803-222-2323",
            "fax_number": "803-222-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CHURCH ST",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297101008",
            "telephone_number": "803-222-2323",
            "fax_number": "803-222-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "BRODNAX",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-222-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clover, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.