William Brock Martin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2459 Issued in TN

Practice address

159 Court SQ
Huntingdon, TN 38344-3709

Phone

(731) 535-3205

Fax

(731) 535-3203

NPI assigned

Nov 8, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Chiropractic and Wellness Center, PLLCGroup PAC ID 5698931723, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Chiropractic and Wellness Center, PLLC

  • Chiropractor
  • Huntingdon, TN
  • NPI 1972864650
  Medicare reassignment Care Compare group NPD Authorized official
• Douglas Chiropractic

  • Chiropractor
  • Camden, TN
  • NPI 1871779926
  NPD

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740581735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 COURT SQ",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383443709",
            "telephone_number": "731-535-3205",
            "fax_number": "731-535-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 COURT SQ",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383443709",
            "telephone_number": "731-535-3205",
            "fax_number": "731-535-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "BROCK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALMETTO GBA",
            "identifier": "003247",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512419",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shearll Denece Lockhart, LPN
• Richard Lyn-Cook, MD, MPH
• Meagen Sturdivant Maddox, PA-C
• Brittany Mangiaracinia
• Krista McGrady Martin, D.C.
• Bradley Matthews, DPT
• McKenzie Medical Center PC (Hometown Health Clinic)
• Wendy Melton
• Karen Miles
• Jacinta Y Miller, APN

• Chiropractor in Huntingdon, TN
• Providers in Huntingdon, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.