Individual provider Active NPI

Brandon Scott Holmes, D.C.

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1912270976
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3707 Issued in SC
Practice address
945 E Main St
Suite 5
Spartanburg, SC 29302-2119
Phone
(864) 542-0780
Fax
(864) 542-1689
NPI assigned
Feb 21, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3707 SC Primary

Addresses

Primary practice location

945 E Main St
Suite 5
Spartanburg, SC 29302-2119

Mailing address

945 E Main St
Suite 5
Spartanburg, SC 29302-2119
Phone (864) 542-0780

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3707SCMDEndodontist
5449KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Physical Medicine and Chiropractor Past Accepting new patients
Moss Enterprise Chiropractor PastSince Sep 27, 2015 Accepting new patients
Ashland Integrated Medicine PSC Chiropractor PastSince Feb 21, 2015 Accepting new patients
Core Health Centers Chiropractor Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1912270976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E MAIN ST",
            "address_2": "SUITE 5",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022119",
            "telephone_number": "864-542-0780",
            "fax_number": "864-542-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E MAIN ST",
            "address_2": "SUITE 5",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022119",
            "telephone_number": "864-542-0780",
            "fax_number": "864-542-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.