Active NPI
Brian R Davis, D.C.
- Chiropractor
- Greenville, SC
National Provider Identifier
1851680094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3578
- Practice address
- 1622 E North St
Ste 10
Greenville, SC 29607-1329 - Phone
- (864) 406-3300
- Fax
- (877) 391-1231
- NPI assigned
- Mar 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3578 | SC | Primary |
| Neurology Chiropractor | 111NN0400X | 3578 | SC | |
| Nutrition Chiropractor | 111NN1001X | 3578 | SC |
Addresses
Primary practice location
1622 E North St
Ste 10
Greenville, SC 29607-1329
Mailing address
1622 E North St
Ste 10
Greenville, SC 29607-1329
Phone (864) 406-3300
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 |
|---|---|---|---|
| 3578 | SC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1851680094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1622 E NORTH ST",
"address_2": "STE 10",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296071329",
"telephone_number": "864-406-3300",
"fax_number": "877-391-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 E NORTH ST",
"address_2": "STE 10",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296071329",
"telephone_number": "864-406-3300",
"fax_number": "877-391-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BRIAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3578",
"primary": true
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "SC",
"license": "3578",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "SC",
"license": "3578",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.