Individual provider Active NPI

Christie Mae Bryant-Benson, D.C.

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1497856538
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3390 Issued in SC
Practice address
1301 Elmwood Ave
Columbia, SC 29201-2107
Phone
(803) 888-6221
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3390 SC Primary
Chiropractor 111N00000X X010849 NY

Addresses

Primary practice location

1301 Elmwood Ave
Columbia, SC 29201-2107

Mailing address

1301 Elmwood Ave
Columbia, SC 29201-2107
Phone (803) 201-4282

Other practice location 1

7453 Irmo Dr
Columbia, SC 29212-8698
Phone (803) 781-4092

Other identifiers 6

IdentifierTypeStateIssuer
3390OtherSCSC DC LICENSE
629920OtherNYAETNA
PO10010849OtherNYBLUE CHOICE
175965ANOtherNYPREFERRED CARE
9416263OtherNYPHCS
PO20010849OtherNYBLUE CROSS/BLUE SHIELD

Other names 1

  • Dr. Christie Mae Bryant-Benson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000176 SC Practitioner - Chiropractic 8628007929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benson Chiropractic PCGroup PAC ID 8224066303, 2 clinicians

Practice addresses (Care Compare)

1301 Elmwood Ave
Columbia, SC 29201-2107
Phone (803) 888-6221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010849NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Henrietta Family Chiropractic PC Chiropractor CurrentSince Mar 27, 2017 Accepting new patients

Locations

4029 W Henrietta Rd
Rochester, NY 14623
Phone (585) 321-3200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1497856538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ELMWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012107",
            "telephone_number": "803-201-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ELMWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012107",
            "telephone_number": "803-888-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7453 Irmo Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292128698",
            "country_code": "US",
            "telephone_number": "803-781-4092",
            "fax_number": "803-781-2798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT-BENSON",
        "first_name": "CHRISTIE",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3390",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DC LICENSE",
            "identifier": "3390",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "629920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "PO10010849",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "175965AN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9416263",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "PO20010849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "BRYANT-BENSON",
            "middle_name": "MAE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.