Organization Active NPI

Brittian Chiropractic Center, PLLC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1477873586
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4077 Issued in NC
Legal business name
BRITTIAN CHIROPRACTIC CENTER, PLLC
Practice address
245 Executive Park Blvd
Winston Salem, NC 27103-1503
Phone
(336) 293-8931
NPI assigned
Jun 11, 2010
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Dr. Gerren Quinton Brittian, DCNPI 1336469782
Title
Owner
Phone
(678) 416-1488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4077 NC Primary

Addresses

Primary practice location

245 Executive Park Blvd
Winston Salem, NC 27103-1503

Mailing address

245 Executive Park Blvd
Winston Salem, NC 27103-1503
Phone (336) 293-8931

National Provider Directory

National Provider Directory

Locations

205 S Stratford Rd
Ste L
Winston Salem, NC 27103
Phone (336) 293-8931

245 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 293-8931

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1477873586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 EXECUTIVE PARK BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031503",
            "telephone_number": "336-293-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 EXECUTIVE PARK BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031503",
            "telephone_number": "336-293-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTIAN CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "BRITTIAN",
        "authorized_official_first_name": "GERREN",
        "authorized_official_middle_name": "QUINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-416-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.