Organization Active NPI

Bronson Chiropractic & Acupuncture Clinic of the Triad, PLLC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1285681833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2260 Issued in NC
Legal business name
BRONSON CHIROPRACTIC & ACUPUNCTURE CLINIC OF THE TRIAD, PLLC
Practice address
200 Charlois Blvd
Suite 100
Winston Salem, NC 27103-1536
Phone
(336) 765-0404
Fax
(336) 765-0304
NPI assigned
May 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amy Alice Bronson, D.C.NPI 1295782845
Title
Owner/President
Phone
(336) 765-0404

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
Chiropractor 111N00000X 2260 NC Primary

Addresses

Primary practice location

200 Charlois Blvd
Suite 100
Winston Salem, NC 27103-1536

Mailing address

200 Charlois Blvd
Suite 100
Winston Salem, NC 27103-1536
Phone (336) 765-0404

National Provider Directory

National Provider Directory

Locations

200 Charlois Blvd
Ste 100
Winston Salem, NC 27103
Phone (336) 765-0404

4526 Country Club Rd
Winston Salem, NC 27104
Phone (336) 765-0404

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285681833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHARLOIS BLVD",
            "address_2": "SUITE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031536",
            "telephone_number": "336-765-0404",
            "fax_number": "336-765-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHARLOIS BLVD",
            "address_2": "SUITE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031536",
            "telephone_number": "336-765-0404",
            "fax_number": "336-765-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON CHIROPRACTIC & ACUPUNCTURE CLINIC OF THE TRIAD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "336-765-0404",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.