Organization Active NPI

SCD Back & Joint Clinic, LTD

  • Chiropractor
  • Bryan, TX
National Provider Identifier
1457566622
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4061 Issued in TX
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

Updated by the provider on Oct 17, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.