NPIMap

Organization Active NPI

Seymore Chiropractic and Physical Therapy Centers, LLC

Doing business as Maryland Spine Institute

  • Specialist
  • Bel Air, MD
National Provider Identifier
1598975146
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20804 PT Issued in MD
Legal business name
SEYMORE CHIROPRACTIC AND PHYSICAL THERAPY CENTERS, LLC
Doing business as
Maryland Spine Institute
Practice address
730 Baltimore Pike
Bel Air, MD 21014-4244
Phone
(410) 877-8077
Fax
(410) 877-8577
NPI assigned
May 23, 2007
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Brian L Seymore, DC,PT,CCCN,R.EDT
Title
President
Phone
(410) 877-8077

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0013 CCCN MD
Specialist 174400000X 20804 PT MD Primary
Physical Therapist 225100000X 20804 MD
Rehabilitation Chiropractor 111NR0400X 03390 MD

Addresses

Primary practice location

730 Baltimore Pike
Bel Air, MD 21014-4244

Mailing address

730 Baltimore Pike
Bel Air, MD 21014-4244
Phone (410) 877-8077

Other identifiers 5

IdentifierTypeStateIssuer
2146627OtherMDUNITEDHEALTHCARE
64514901OtherMDBCBS RENDERING NUMBER
2162892OtherMDFIRST HEALTH
446469OtherMDCOVENTRY
0117137 00MedicaidMD

Other names 1

  • Maryland Spine Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1598975146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144244",
            "telephone_number": "410-877-8077",
            "fax_number": "410-877-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144244",
            "telephone_number": "410-877-8077",
            "fax_number": "410-877-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMORE CHIROPRACTIC AND PHYSICAL THERAPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "SEYMORE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-877-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,PT,CCCN,R.EDT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "0013 CCCN",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "20804 PT",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20804",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "03390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "2146627",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RENDERING NUMBER",
            "identifier": "64514901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2162892",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "446469",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117137 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.