Brian C Carroll DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009401 Issued in NY

Legal business name

BRIAN C CARROLL DC PC

Practice address

1484 Broadway Ave
Holbrook, NY 11741

Phone

(631) 737-3838

Fax

(631) 737-8467

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By 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

Brian C Carroll, DC PCNPI 1023180999

Title

Chiropractor Owner

Phone

(631) 737-3838

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.

• Brian C Carroll, DCPC

  • Chiropractor
  • Holbrook, NY
  • NPI 1023180999
  Authorized official Same address or phone

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689704330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "11741",
            "telephone_number": "631-737-3838",
            "fax_number": "631-737-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 BROADWAY AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "11741",
            "telephone_number": "631-737-3838",
            "fax_number": "631-737-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C CARROLL DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "631-737-3838",
        "authorized_official_credential": "DC PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Borak, BCBA
• Leann Bonnie Borneman, LCSW
• Michael J Boruchov, D.D.S.
• Bracetown Holbrook Orthodontics. LLP
• Noreen F Brady, LCSW
• Broadway Acupuncture, P.C.
• Amanda Brown
• Lisa Brown
• Tiffany Nicole Brown
• Mary Ann Bryant

• Chiropractor in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.