Brussack Family Chiropractic

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

002639 Issued in GA

Legal business name

BRUSSACK FAMILY CHIROPRACTIC

Practice address

287 Scenic Hwy
Lawrenceville, GA 30046-8402

Phone

(770) 962-0228

Fax

(770) 962-4181

NPI assigned

Aug 10, 2012

Last updated

Aug 10, 2012By 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

Mr. Jerrold M Brussack, DC

Title

Owner

Phone

(770) 962-0228

Specialties & licenses 1

Addresses

Other names 1

• Sun Wellness Center Other name

Locations

Practitioners 3

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.

• Dawn Marie Peters, NCMT

  • Mechanotherapist
  • Lawrenceville, GA
  • NPI 1497909600
  NPD (past)
• Joshua Saul, LAC

  • Acupuncturist
  • Atlanta, GA
  • NPI 1184066953
  NPD (past)
• Kimberly Saul, LAC,DIPL.AC.

  • Acupuncturist
  • Lawrenceville, GA
  • NPI 1619004553
  NPD (past)

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1407103278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468402",
            "telephone_number": "770-962-0228",
            "fax_number": "770-962-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468402",
            "telephone_number": "770-962-0228",
            "fax_number": "770-962-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSSACK FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "BRUSSACK",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-962-0228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "002639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Veronica Browne, MSN, M.ED., RN
• Christine Browning, DPT
• Donald Gene Browning, M.D.
• Neil David Browning, DMD
• Mareesa Bruny, LAPC
• Brooke Danielle Bryan, WHNP-BC
• Craigh Keith Bryan, MD
• Shawneka D Bryan, NP-C
• Alyssa Renee Bryant, M.D.
• Carlton Reece Bryant

• Neurology Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Neurology Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.