Alexander S Bridwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009066 Issued in GA

Practice address

105 Shirley Ave
Douglas, GA 31533

Phone

(912) 381-9414

NPI assigned

Apr 25, 2014

Last updated

May 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Coastal Premier Chiropractic PC

  • Chiropractor
  • Douglas, GA
  • NPI 1306402250
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1609296946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332325",
            "telephone_number": "912-381-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-381-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 Yorklyn Rd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Hockessin",
            "state": "DE",
            "postal_code": "197078704",
            "country_code": "US",
            "telephone_number": "302-239-8550",
            "fax_number": "302-239-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDWELL",
        "first_name": "ALEXANDER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Braddy, D.C.
• Emily Bradshaw, M.ED CCC-SLP
• Margaret Lucinda Brantley, ATC
• Lee Williams Braxton, FNP-C
• Angela Marie Brewer, FNP-C
• Hallie S. Brigmond, PA-C
• Jessilee Gabrielle Brooker, DMD
• Justin Brown, PHARMACIST
• Mary Katherine Kemp Brown, CCC-SLP
• Matthew Jeremiah Brown, PHARMD

• Chiropractor in Douglas, GA
• Providers in Douglas, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.