Organization Active NPI

Holistic Care of Charleston

  • Internist Chiropractor
  • Charleston, SC
National Provider Identifier
1891059200
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
2144 Issued in SC
Legal business name
HOLISTIC CARE OF CHARLESTON
Practice address
354 Folly Rd
Suite 1
Charleston, SC 29412-2594
Phone
(843) 795-9333
Fax
(866) 610-1495
NPI assigned
Jun 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Dr. Bruce Howard Gwinnup, D.C.
Title
President
Phone
(843) 795-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 2144 SC Primary

Addresses

Primary practice location

354 Folly Rd
Suite 1
Charleston, SC 29412-2594

Mailing address

354 Folly Rd
Suite 1
Charleston, SC 29412-2594
Phone (843) 795-9333

Other identifiers 1

IdentifierTypeStateIssuer
U675310281OtherSCMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1891059200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 FOLLY RD",
            "address_2": "SUITE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122594",
            "telephone_number": "843-795-9333",
            "fax_number": "866-610-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 FOLLY RD",
            "address_2": "SUITE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122594",
            "telephone_number": "843-795-9333",
            "fax_number": "866-610-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC CARE OF CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "GWINNUP",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-795-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "SC",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U675310281",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.