Southside Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1675 Issued in LA

Legal business name

SOUTHSIDE CHIROPRACTIC CLINIC LLC

Practice address

672 Bert Kouns Industrial Loop
Shreveport, LA 71118-5701

Phone

(318) 686-3152

NPI assigned

Aug 16, 2013

Last updated

Aug 16, 2013By 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

Gregory Brigola, D.C.NPI 1750685954

Title

Chiropractor

Phone

(318) 686-3152

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Gregory Brigola, D.C.

  • Chiropractor
  • Port Orange, FL
  • NPI 1750685954
  Authorized official Same address or phone
• Ihab J. Ibrahim, M.D.

  • Interventional Pain Medicine Physician
  • Saint Louis, MO
  • NPI 1043259880
  NPD
• Kenneth Edward Wojcik, D.C.

  • Chiropractor
  • Shreveport, LA
  • NPI 1760405971
  NPD (past)

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1780017400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711185701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711185701",
            "telephone_number": "318-686-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "BRIGOLA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "318-686-3152",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Roots Dentistry LLC (Southern Roots Dentistry)
• James Wesley Southern
• Southfield Family Dentistry, Inc.
• Ninta Southichack
• Southland Home Health Services, Inc.
• Southside Foot Clinic of Shreveport Inc a Professional Corporation (The Foot Surgery Center of Shreveport)
• Southside Foot Clinic of Shreveport, Inc. a Professional Corporation (Southside Foot Clinic)
• Skylar Amanda Souyoul, M.D.
• Kevin Thomas Sowell, PHYSICAL THERAPIST
• Alison Smith Spann, MD

• Chiropractor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.