Brian Spackman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4664 Issued in SC

Practice address

420 The Pkwy Ste I-B
Greer, SC 29650-5204

Phone

(864) 416-4485

NPI assigned

Mar 22, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Awakening Life Chiropractic Upper Cervical Health Center PC

  • Chiropractor
  • Greer, SC
  • NPI 1073201687
  Medicare reassignment NPD

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1346943057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 THE PKWY STE I-B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505204",
            "telephone_number": "864-510-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THE PKWY STE I-B",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505204",
            "telephone_number": "864-416-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACKMAN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina Research Group LLC
• South Carolina Speech Therapy, LLC
• Southern Eye Associates of SC, PA (Southern Eye Associates, PA)
• Southern Eye Associates of South Carolina, PA
• Southern Eye Optical LLC
• Leslie Ann Sparovic, PHARMD
• Spartanburg Medical Center (Medical Group of the Carolinas - Breast Care and Gynecologic Oncology - Pelham)
• Spartanburg Medical Center (Medical Group of the Carolinas- Family Medicine -Five Forks-Pelham)
• Spartanburg Medical Center (Medical Group of the Carolinas - Orthopaedic Trauma Services - Pelham)
• Spartanburg Medical Center (Medical Group of the Carolinas - Rheumatology - Pelham)

• Chiropractor in Greer, SC
• Providers in Greer, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.