Organization Active NPI

Gulf Breeze Chiropractic PA D/B/a Hall Chiropractic & Sports Medicine

  • Chiropractor
  • Gulf Breeze, FL
National Provider Identifier
1740301613
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0008747 Issued in FL
Legal business name
GULF BREEZE CHIROPRACTIC PA D/B/A HALL CHIROPRACTIC & SPORTS MEDICINE
Practice address
1101 Gulf Breeze Pkwy
Suite 106
Gulf Breeze, FL 32561-4862
Phone
(850) 924-4255
Fax
(850) 934-9868
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Dr. Jason Durwood Hall, D.C.NPI 1811964711
Title
Owner, President
Phone
(850) 934-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0008747 FL Primary

Addresses

Primary practice location

1101 Gulf Breeze Pkwy
Suite 106
Gulf Breeze, FL 32561-4862

Mailing address

PO Box 30195
Pensacola, FL 32503-1195
Phone (850) 934-4255

National Provider Directory

National Provider Directory

Locations

913 Gulf Breeze Pkwy
Ste 22
Gulf Breeze, FL 32561
Phone (850) 934-4255

1101 Gulf Breeze Pkwy
Ste 106
Gulf Breeze, FL 32561
Phone (850) 924-4255

1101 Gulf Breeze Pkwy
#106
Gulf Breeze, FL 32561
Phone (850) 934-4255

1100 Airport Blvd
Ste C
Pensacola, FL 32504
Phone (850) 474-6393

Practitioners & affiliated clinicians

Practitioners 1

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1740301613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30195",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031195",
            "telephone_number": "850-934-4255",
            "fax_number": "850-934-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GULF BREEZE PKWY",
            "address_2": "SUITE 106",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614862",
            "telephone_number": "850-924-4255",
            "fax_number": "850-934-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BREEZE CHIROPRACTIC PA D/B/A HALL CHIROPRACTIC & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DURWOOD",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "850-934-4255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0008747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.