Bryan Keith Hooper, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6752 Issued in GA

Practice address

1011 Woodridge Lane
Building 301
Watkinsville, GA 30677-6077

Phone

(706) 310-1121

Fax

(706) 310-1165

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eastside Chiropractic

  • Chiropractor
  • Watkinsville, GA
  • NPI 1598868416
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508969411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 WOODRIDGE LANE",
            "address_2": "BUILDING 301",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776077",
            "telephone_number": "706-310-1121",
            "fax_number": "706-310-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 WOODRIDGE LANE",
            "address_2": "BUILDING 301",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776077",
            "telephone_number": "706-310-1121",
            "fax_number": "706-310-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya Hitchcock, RBT
• Cameron Hoellrich
• Dana June Hogan, MD
• Abigail Susannah Holbrook, LCSW
• Anna Holland
• Hopebridge LLC
• Horizon Physical Therapy and Rehabilitation, Inc.
• Abigail House
• Ashley House, MA, APC
• Shani Jones Howard, NP

• Chiropractor in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.