Active NPI
Brainard Lee Ackley, DC
- Chiropractor
- Nags Head, NC
National Provider Identifier
1780847392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1673
- Practice address
- 119 West Woodhill Drive
Suite 7
Nags Head, NC 27959 - Phone
- (252) 480-9909
- Fax
- (252) 480-1828
- NPI assigned
- Jul 3, 2008
- Last updated
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1673 | NC | Primary |
Addresses
Primary practice location
119 West Woodhill Drive
Suite 7
Nags Head, NC 27959
Mailing address
PO Box 1920
Kitty Hawk, NC 27949
Phone (252) 480-9909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1673 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1780847392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1920",
"city": "KITTY HAWK",
"state": "NC",
"postal_code": "27949",
"telephone_number": "252-480-9909",
"fax_number": "252-480-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WEST WOODHILL DRIVE",
"address_2": "SUITE 7",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "27959",
"telephone_number": "252-480-9909",
"fax_number": "252-480-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKLEY",
"first_name": "BRAINARD",
"middle_name": "LEE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nags Head, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.