Clayton Lee Broome, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3754 Issued in SC

Practice address

1400 John B White Sr Blvd
Spartanburg, SC 29306-3927

Phone

(864) 707-0123

Fax

(864) 752-9443

NPI assigned

Jul 16, 2012

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Health & Spine, LLC

  • Chiropractor
  • Spartanburg, SC
  • NPI 1447621800
  Medicare reassignment NPD Authorized official
• Moss Enterprise

  dba Core Health Centers

  • Chiropractor
  • Spartanburg, SC
  • NPI 1285002196
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1346595410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293760777",
            "telephone_number": "864-707-0123",
            "fax_number": "864-272-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JOHN B WHITE SR BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063927",
            "telephone_number": "864-707-0123",
            "fax_number": "864-752-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "CLAYTON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3754",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "3754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH375",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Herbert Brooks, MD
• Justin Brent Brooks, CRNA
• Katherine Hadden Brooks, PA-C
• Lori Saxon Brooks, CRNA
• Amanda Falls Broome, PA-C
• Wanda Keeter Brothers, RBT
• Brown Chiropractic & Associates, LLC (Southern Palms Chiropractic and Wellness)
• Anna Bearden Brown, FNP
• Brian J Brown, M.D.
• Cameron David Brown

• Rehabilitation Chiropractor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Rehabilitation Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.