Baybridge Chiropractic Clinic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00005184 Issued in FL

Legal business name

BAYBRIDGE CHIROPRACTIC CLINIC, P.A.

Practice address

107 Bay Bridge Dr
Gulf Breeze, FL 32561-7428

Phone

(850) 932-1778

Fax

(850) 934-4770

NPI assigned

Dec 8, 2011

Last updated

Dec 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Leamon William

Title

Director

Phone

(850) 932-1778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1538437272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BAYBRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614470",
            "telephone_number": "850-932-1778",
            "fax_number": "850-934-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BAY BRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617428",
            "telephone_number": "850-932-1778",
            "fax_number": "850-934-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYBRIDGE CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LEAMON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-932-1778",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH00005184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atchara Barrows, LMT
• Jonathan Basile
• Samantha Bass, RBT
• Carina Bauerdorf, RBT
• Bay Breeze Operating Investments LLC
• Bayou Wellness, LLC
• Gregory L Beach, FNP
• Rick A Beach, M.D.
• Casey Wheeler Becker, M.A., LMHC
• Behavior Changes LLC

• Chiropractor in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.