Active NPI
SCD Back & Joint Clinic, LTD
- Chiropractor
- Bryan, TX
National Provider Identifier
1457566622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4061
- Legal business name
- SCD BACK & JOINT CLINIC, LTD
- Practice address
- 200 East 24TH Street
Suite B
Bryan, TX 77803 - Phone
- (979) 822-2225
- Fax
- (979) 822-8445
- NPI assigned
- May 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David N Bailey, DC
- Title
- President of General Partner
- Phone
- (979) 822-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4061 | TX | Primary |
Addresses
Primary practice location
200 East 24TH Street
Suite B
Bryan, TX 77803
Mailing address
200 East 24TH Street
Suite B
Bryan, TX 77803
Phone (979) 822-2225
Other names 1
- Back & Joint Clinic
National Provider Directory
National Provider DirectoryLocations
3201 University Dr E
Ste 175
Bryan, TX 77802
Phone (979) 704-6420
200 E 24th St
#B
Bryan, TX 77803
Phone (979) 822-2225
200B E 24th St
Ste B
Bryan, TX 77803
Phone (979) 822-2225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Spring, TX
- NPI 1982775052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224201600000",
"number": "1457566622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 EAST 24TH STREET",
"address_2": "SUITE B",
"city": "BRYAN",
"state": "TX",
"postal_code": "77803",
"telephone_number": "979-822-2225",
"fax_number": "979-822-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EAST 24TH STREET",
"address_2": "SUITE B",
"city": "BRYAN",
"state": "TX",
"postal_code": "77803",
"telephone_number": "979-822-2225",
"fax_number": "979-822-8445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCD BACK & JOINT CLINIC, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2008-10-17",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
"authorized_official_telephone_number": "979-822-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "4061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Back & Joint Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.