NPIMap

Organization Active NPI

Nelson Brothers Chiropractic, P.C.

  • Chiropractor
  • Hope Mills, NC
National Provider Identifier
1336253426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2169 Issued in NC
Legal business name
NELSON BROTHERS CHIROPRACTIC, P.C.
Doing business as
Nelson & Nelson Chiropractic
Practice address
3202 N Main St
Suite 112
Hope Mills, NC 28348-1831
Phone
(910) 426-9112
Fax
(910) 426-3802
NPI assigned
Aug 18, 2006
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
Dr. Garry Nelson, D.C.
Title
President
Phone
(910) 964-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2169 NC Primary

Addresses

Primary practice location

3202 N Main St
Suite 112
Hope Mills, NC 28348-1831

Mailing address

3202 N Main St
Suite 112
Hope Mills, NC 28348-1831
Phone (910) 426-9112

Other names 1

  • Nelson & Nelson Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161129002121 NC Part B Supplier - Clinic/Group Practice 8628358165 Receives reassigned benefits from 2 practitioners
Practice locations: Hope Mills, NC

National Provider Directory

National Provider Directory

Locations

3202 N Main St
Ste 112
Hope Mills, NC 28348
Phone (910) 426-9112

3202 N Main St
Ste 100
Hope Mills, NC 28348
Phone (910) 401-6813

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336253426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 N MAIN ST",
            "address_2": "SUITE 112",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481831",
            "telephone_number": "910-426-9112",
            "fax_number": "910-426-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 N MAIN ST",
            "address_2": "SUITE 112",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481831",
            "telephone_number": "910-426-9112",
            "fax_number": "910-426-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON BROTHERS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-964-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson & Nelson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope Mills, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.