Broyles Chiropractic and Sports Medicine PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3789 Issued in SC

Legal business name

BROYLES CHIROPRACTIC AND SPORTS MEDICINE PA

Practice address

9945 Charlotte Hwy
Fort Mill, SC 29707-7134

Phone

(803) 082-8601

Fax

(803) 802-7969

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Cory Broyles, D.C.

Title

President, Owner, Director

Phone

(864) 313-6094

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.

• Michael Thomas Costa, D.C.

  • Chiropractor
  • Fort Mill, SC
  • NPI 1629183108
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1679819726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9945 CHARLOTTE HWY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077134",
            "telephone_number": "803-802-8601",
            "fax_number": "803-802-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9945 CHARLOTTE HWY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077134",
            "telephone_number": "803-082-8601",
            "fax_number": "803-802-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROYLES CHIROPRACTIC AND SPORTS MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "PRESIDENT, OWNER, DIRECTOR",
        "authorized_official_telephone_number": "864-313-6094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Charles Brown III, MD
• Robin D. Brown
• Shirley H Brown, LCSW
• William Trevor Brown Sr.
• Anisa Janine Browning-Chenault, PHARM.D, RPH
• Jonathan Cory Broyles, D.C.
• Jennifer Brunelli, MS, RD, LDN
• Sonya Bruster
• Bridgett Bryant, RBT
• David D Buckland, D.O.

• Chiropractor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.