David Grant Brogdon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1330 Issued in TN

Practice address

1471 N Mack Smith Rd
East Ridge, TN 37412-3947

Phone

(423) 485-8480

Fax

(423) 485-8481

NPI assigned

Jul 13, 2007

Last updated

Jul 13, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• TH Chiro PLLC

  dba Total Health Chiropractic

  • Chiropractor
  • Chattanooga, TN
  • NPI 1295101327
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1811196413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 N MACK SMITH RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374123947",
            "telephone_number": "423-485-8480",
            "fax_number": "423-485-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 N MACK SMITH RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374123947",
            "telephone_number": "423-485-8480",
            "fax_number": "423-485-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGDON",
        "first_name": "DAVID",
        "middle_name": "GRANT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benchmark Healthcare Services LLC
• Patricia Diane Blasick, PA
• Judith J Boggess, M.D.
• Mark W Bookout, M.D.
• Jessica Briscoe
• Alex Bryant
• BSK Enterprises, LLC (Southern Heritage Assisted Living II)
• Evelyne Vanitha Burtis, MSPT
• Cal City Medical Supply, Inc. (Smart Remedies)
• Caring Steps Solution Inc

• Chiropractor in East Ridge, TN
• Providers in East Ridge, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.