Broadway Spinal Care LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BROADWAY SPINAL CARE LLC

Practice address

211 N Broadway Ave
Sylacauga, AL 35150-2525

Phone

(256) 861-8546

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By 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

Tara E Douglas, DCNPI 1831266469

Title

Partner

Phone

(256) 861-8546

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Elizabeth Douglas, D.C.

  • Chiropractor
  • Sylacauga, AL
  • NPI 1831266469
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1639891898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502525",
            "telephone_number": "256-861-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502525",
            "telephone_number": "256-861-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY SPINAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "256-861-8546",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karie Bowers, CRNP
• James Henry Bowman III, DPM
• Julie Evelyn Boycott, CRNP
• Tasia Bates Bradford, CRNP
• Charles B Brentnall Jr., M.D., P.A.
• Annie Clara Brown, LCISW
• Bruno's Supermarkets, LLC. (Food World Pharmacy #068)
• Southworth F Bryan Jr., LPC
• Verick Daniel Burchfield, NP
• Jennifer Burnett, FNP-C

• Health Service Clinic/Center in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Health Service Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.