Organization Active NPI

Carrier Family Chiropractic, P.a.

  • Chiropractor
  • Greenville, TX
National Provider Identifier
1942400320
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7269 Issued in TX
Legal business name
CARRIER FAMILY CHIROPRACTIC, P.A.
Practice address
2609 Eastland St.
Greenville, TX 75402
Phone
(903) 454-3043
Fax
(903) 455-0339
NPI assigned
Jul 23, 2007
Last updated
Jun 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Dr. Bradly Preston Carrier, D.C.NPI 1073522850
Title
President/Owner
Phone
(903) 454-3043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Chiropractor 111N00000X 10681 TX
Chiropractor 111N00000X 7269 TX Primary

Addresses

Primary practice location

2609 Eastland St.
Greenville, TX 75402

Mailing address

2609 Eastland Ave.
Greenville, TX 75402
Phone (903) 454-3043

Other names 1

  • D.E. Carrier D.C., Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000139 TX Part B Supplier - Clinic/Group Practice 6709963135 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, TX

National Provider Directory

National Provider Directory

Locations

2609 Eastland Ave
Greenville, TX 75402
Phone (903) 454-3043

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1942400320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 EASTLAND AVE.",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75402",
            "telephone_number": "903-454-3043",
            "fax_number": "903-455-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 EASTLAND ST.",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75402",
            "telephone_number": "903-454-3043",
            "fax_number": "903-455-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIER FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "CARRIER",
        "authorized_official_first_name": "BRADLY",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "903-454-3043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10681",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.E. Carrier D.C., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.