Organization Active NPI

Weaver Chiropractic, LLC

  • Chiropractor
  • Florence, SC
National Provider Identifier
1932368156
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2541 Issued in SC
Legal business name
WEAVER CHIROPRACTIC, LLC
Practice address
105 Warley St
Florence, SC 29501-4442
Phone
(843) 669-1680
Fax
(843) 669-0266
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Bradley Kane Weaver, DC
Title
Doctor/Owner
Phone
(843) 669-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2541 SC Primary

Addresses

Primary practice location

105 Warley St
Florence, SC 29501-4442

Mailing address

105 Warley St
Florence, SC 29501-4442
Phone (843) 669-1680

Other identifiers 2

IdentifierTypeStateIssuer
CH2541MedicaidSC
DB3794OtherSCMEDICARE RAILRAOD GROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1932368156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WARLEY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014442",
            "telephone_number": "843-669-1680",
            "fax_number": "843-669-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WARLEY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014442",
            "telephone_number": "843-669-1680",
            "fax_number": "843-669-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "KANE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "843-669-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2541",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILRAOD GROUP",
            "identifier": "DB3794",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.