Organization Active NPI

George Chiropractic Clinic

  • Chiropractor
  • Ripley, WV
National Provider Identifier
1790971109
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
758 Issued in WV
Legal business name
GEORGE CHIROPRACTIC CLINIC
Practice address
368 Main St W
Ripley, WV 25271-1427
Phone
(304) 372-1010
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Bradley George, DCNPI 1700951514
Title
Owner
Phone
(304) 372-1010

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 758 WV Primary

Addresses

Primary practice location

368 Main St W
Ripley, WV 25271-1427

Mailing address

368 Main St W
Ripley, WV 25271-1427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000983 WV Part B Supplier - Clinic/Group Practice 9830188689 Receives reassigned benefits from 1 practitioner
Practice locations: Ravenswood, WV; Ripley, WV

National Provider Directory

National Provider Directory

Locations

368 Main St W
Ripley, WV 25271
Phone (304) 372-1010

Practitioners & affiliated clinicians

Practitioners 3

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1790971109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 MAIN ST W",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 MAIN ST W",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711427",
            "telephone_number": "304-372-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-372-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.