Organization Active NPI

Brian Colquitt SC DC PA

  • Chiropractor
  • Florence, SC
National Provider Identifier
1518658012
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRIAN COLQUITT SC DC PA
Practice address
405 S Ebenezer Rd
Florence, SC 29501-7916
Phone
(843) 662-4341
Fax
(843) 679-3060
NPI assigned
May 16, 2023
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Ruth McCall
Title
Office Manager
Phone
(843) 662-4341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

405 S Ebenezer Rd
Florence, SC 29501-7916

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125003863 SC Part B Supplier - Clinic/Group Practice 9931552932 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1518658012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S EBENEZER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017916",
            "telephone_number": "843-662-4341",
            "fax_number": "843-679-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S EBENEZER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017916",
            "telephone_number": "843-662-4341",
            "fax_number": "843-679-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN COLQUITT SC DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-662-4341"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.