Brian Keith Graham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1862 Issued in AL

Practice address

1120 College Ave
Jackson, AL 36545-2405

Phone

(251) 246-7333

Fax

(251) 246-7249

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Spine and Rehab, IncGroup PAC ID 2466464946, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian@tsr0001.direct.chirotouch.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Spine and Rehab Inc

  • Chiropractor
  • Jackson, AL
  • NPI 1528013638
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Spine & Therapy Services, LLC

  • Chiropractor
  • Mobile, AL
  • NPI 1447887104
  Medicare reassignment
• Total Spine Surgical Center LLC

  • General Practice Physician
  • Jackson, AL
  • NPI 1801031703
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1497739007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452405",
            "telephone_number": "251-246-7333",
            "fax_number": "251-246-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452405",
            "telephone_number": "251-246-7333",
            "fax_number": "251-246-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "35161",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Garrick, MS-CF SLP
• Gilliard Health Services
• Gilliard Health Services
• Gilliard Health Services
• Graceful Hearts
• Grace Greene
• Stephen L Greer, DPT
• Gulf Homecare, Inc.
• Randy Ferrell Guy, RPH
• Gladys Hamilton

• Chiropractor in Jackson, AL
• Providers in Jackson, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.