DME DC Provider LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9429 Issued in FL

Legal business name

DME DC PROVIDER LLC

Doing business as

Medical Bracing Solutions

Practice address

12641 San Jose Blvd
Jacksonville, FL 32223-2646

Phone

(904) 606-6007

Fax

(904) 376-8738

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathalie Blum, DCNPI 1962699199

Title

Owner

Phone

(904) 477-6644

Specialties & licenses 1

Addresses

Other names 1

• Medical Bracing Solutions Doing business as

Practitioners 2

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.

• Nathalie Blum, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1962699199
  NPD (past) Authorized official
• Christine Marie Pascual, DC

  • Chiropractor
  • St Augustine, FL
  • NPI 1578007696
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1295228039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 BUCKEYE LN W",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594387",
            "telephone_number": "904-477-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12641 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232646",
            "telephone_number": "904-606-6007",
            "fax_number": "904-376-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME DC PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-477-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Bracing Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Bracing Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.