Individual provider Active NPI

Arthur Brian Colquitt, DC

  • Chiropractor
  • Columbia, MD
National Provider Identifier
1508955535
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SO1596 Issued in MD
Practice address
10015 Old Columbia Rd
Suite E 245
Columbia, MD 21046-1703
Phone
(410) 792-9702
Fax
(410) 792-8444
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X SO1596 MD Primary

Addresses

Primary practice location

10015 Old Columbia Rd
Suite E 245
Columbia, MD 21046-1703

Mailing address

10015 Old Columbia Rd
Suite E 245
Columbia, MD 21046-1703
Phone (410) 792-9702

Other practice location 1

405 S Ebenezer Rd
Florence, SC 29501-7916
Phone (843) 662-4341

Other identifiers 2

IdentifierTypeStateIssuer
52694202OtherMDMARYLAND RENDERING NUMBER
S8330001OtherMDBCBS FED PHYS ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100521000179 MD Practitioner - Chiropractic 2365579117
I20221025000166 SC Practitioner - Chiropractic 2365579117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 S Ebenezer Rd
Florence, SC 29501-7916
Phone (843) 662-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SO1596MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Colquitt SC DC PA Chiropractor CurrentSince Dec 1, 2023 Accepting new patients

Locations

405 S Ebenezer Rd
Florence, SC 29501
Phone (843) 662-4341

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1508955535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD",
            "address_2": "SUITE E 245",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461703",
            "telephone_number": "410-792-9702",
            "fax_number": "410-792-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 OLD COLUMBIA RD",
            "address_2": "SUITE E 245",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461703",
            "telephone_number": "410-792-9702",
            "fax_number": "410-792-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 S Ebenezer Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295017916",
            "country_code": "US",
            "telephone_number": "843-662-4341",
            "fax_number": "843-679-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLQUITT",
        "first_name": "ARTHUR",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "SO1596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND RENDERING NUMBER",
            "identifier": "52694202",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FED PHYS ID",
            "identifier": "S8330001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.