Active NPI
Brad L Linick, D.C.
- Chiropractor
- Myrtle Beach, SC
National Provider Identifier
1285930180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2543
- Practice address
- 2105 Cromley Cir Ste B
Myrtle Beach, SC 29577-3168 - Phone
- (843) 626-6666
- Fax
- (888) 456-9396
- NPI assigned
- Feb 10, 2011
- Last updated
- Mar 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2543 | SC | Primary |
Addresses
Primary practice location
2105 Cromley Cir Ste B
Myrtle Beach, SC 29577-3168
Mailing address
2105 Cromley Cir Ste B
Myrtle Beach, SC 29577-3168
Phone (843) 626-6666
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235436619 | Other | SC | GROUP PRACTICE NPI |
| 1285930180 | Other | SC | INDIVIDUAL NPI |
| 5316 | Other | SC | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2543 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willis Chiro Med-MB, Inc. | Chiropractor | Past | Accepting new patients |
| Erese Chiropractic Center, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Myrtle Beach, SC
- NPI 1235436619
-
- Chiropractor
- Salisbury, NC
- NPI 1659541076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1285930180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 CROMLEY CIR STE B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773168",
"telephone_number": "843-626-6666",
"fax_number": "888-456-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 CROMLEY CIR STE B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773168",
"telephone_number": "843-626-6666",
"fax_number": "888-456-9396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINICK",
"first_name": "BRAD",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-10",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PRACTICE NPI",
"identifier": "1235436619",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1285930180",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "5316",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.