Elite Spine and Sport Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE SPINE AND SPORT CENTER LLC

Practice address

651 Route 73 N Ste 304
Marlton, NJ 08053-3446

Phone

(856) 983-4499

Fax

(856) 983-0435

NPI assigned

Apr 6, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Russell, DCNPI 1558366781

Title

President

Phone

(856) 983-4499

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan C Russell, DC

  • Chiropractor
  • Marlton, NJ
  • NPI 1558366781
  NPD Authorized official
• Geoffrey Richard Berard, D.C

  • Chiropractor
  • Marlton, NJ
  • NPI 1104177278
  NPD (past)
• Theodora Christine Caraway, D.C.

  • Chiropractor
  • Sewell, NJ
  • NPI 1558366799
  NPD (past)
• Paul Joseph Merlino III, D.C.

  • Orthopedic Chiropractor
  • Marlton, NJ
  • NPI 1417055435
  NPD (past)

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1528909124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ROUTE 73 N STE 304",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533446",
            "telephone_number": "856-983-4499",
            "fax_number": "856-983-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ROUTE 73 N STE 304",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533446",
            "telephone_number": "856-983-4499",
            "fax_number": "856-983-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE AND SPORT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-983-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Eib
• Natalie Carisa Eisenhower, APN
• Sara J. Eisenhuth, OTR, LCSW
• Jodi L Eisner, OTR/L
• Sandra D Elder, M.D.
• Omar Elkattawy, MD
• Michael Wayne Ellin, D.C.
• George David Ellis, M.D.
• Sarah Goldberg Ellis, LCSW
• Elmwood Evesham Associates, LLC

• Chiropractor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.