Organization Active NPI

Parkside Chiropractic, Inc.

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1841518552
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8517 Issued in FL
Legal business name
PARKSIDE CHIROPRACTIC, INC.
Practice address
4319 20TH St W
Suite 103
Bradenton, FL 34205-5000
Phone
(941) 752-4276
Fax
(941) 752-7201
NPI assigned
May 6, 2010
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Dr. Christopher Todd Brugger, D.C.
Title
President
Phone
(941) 752-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8517 FL Primary

Addresses

Primary practice location

4319 20TH St W
Suite 103
Bradenton, FL 34205-5000

Mailing address

4319 20TH St W
Suite 103
Bradenton, FL 34205-5000
Phone (941) 752-4276

National Provider Directory

National Provider Directory

Locations

4319 20th St W
Ste 103
Bradenton, FL 34205
Phone (941) 752-4276

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1841518552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 20TH ST W",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055000",
            "telephone_number": "941-752-4276",
            "fax_number": "941-752-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 20TH ST W",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055000",
            "telephone_number": "941-752-4276",
            "fax_number": "941-752-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "BRUGGER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-752-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.