Active NPI
Beverly Allison, DC
- Chiropractor
- Irmo, SC
National Provider Identifier
1548434962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1487
- Practice address
- 800 Columbiana Dr
Suite 100
Irmo, SC 29063-7213 - Phone
- (803) 225-4264
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1487 | SC | Primary |
Addresses
Primary practice location
800 Columbiana Dr
Suite 100
Irmo, SC 29063-7213
Mailing address
634 Garvin Lake Rd
Gaffney, SC 29340-5156
Phone (803) 225-4264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1487 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Chiropractic Services LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Aiken, SC
- NPI 1902102437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1548434962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 GARVIN LAKE RD",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293405156",
"telephone_number": "803-225-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 COLUMBIANA DR",
"address_2": "SUITE 100",
"city": "IRMO",
"state": "SC",
"postal_code": "290637213",
"telephone_number": "803-225-4264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "BEVERLY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.