Organization Active NPI

Wellness Chiropractic Center, P.S.C.

Doing business as Scott County Chiropractic

  • Chiropractor
  • Scottsburg, IN
National Provider Identifier
1629690417
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS CHIROPRACTIC CENTER, P.S.C.
Doing business as
Scott County Chiropractic
Practice address
1255 N Gardner St
Scottsburg, IN 47170-1495
Phone
(812) 414-2273
Fax
(812) 414-2365
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Dr. Thomas Charles Briscoe, DC
Title
Doctor
Phone
(812) 414-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1255 N Gardner St
Scottsburg, IN 47170-1495

Mailing address

1255 N Gardner St
Scottsburg, IN 47170-1495
Phone (812) 414-2273

Other names 1

  • Scott County Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL scottcountychiro@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200526001996 IN Part B Supplier - Clinic/Group Practice 3173944394 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsburg, IN

National Provider Directory

National Provider Directory

Locations

1255 N Gardner St
Scottsburg, IN 47170
Phone (812) 414-2273

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1629690417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N GARDNER ST",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701495",
            "telephone_number": "812-414-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N GARDNER ST",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701495",
            "telephone_number": "812-414-2273",
            "fax_number": "812-414-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CHIROPRACTIC CENTER, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "812-414-2273",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scottcountychiro@gmail.com",
            "affiliation": "N",
            "address_1": "1255 N Gardner St",
            "city": "Scottsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471701495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Scott County Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.