Brantley Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4146 Issued in KS

Legal business name

BRANTLEY CHIROPRACTIC LLC

Practice address

1810 Main St
Great Bend, KS 67530-2524

Phone

(620) 793-5588

Fax

(620) 793-5589

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott Roger Brantley, D.C.NPI 1740251438

Title

Doctor

Phone

(620) 793-5588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Roger Brantley, D.C.

  • Chiropractor
  • Great Bend, KS
  • NPI 1740251438
  Medicare reassignment NPD Authorized official
• Kyle J Krebaum, D.C.

  • Chiropractor
  • Great Bend, KS
  • NPI 1740371657
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972630572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MAIN ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302524",
            "telephone_number": "620-793-5588",
            "fax_number": "620-793-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MAIN ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302524",
            "telephone_number": "620-793-5588",
            "fax_number": "620-793-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANTLEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "620-793-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Johnson Boone, DPM
• Eric Bosley
• Jannifer L Boucher, LPC
• Ashley Y Boxberger, PA-C
• Shawn M Brady, PTA
• Scott Roger Brantley, D.C.
• Lori Brax, LSCSW
• Rayna Malynn Bray
• Brookdale Senior Living Communities, Inc. (Brookdale Great Bend)
• Carie Elizabeth Brown, MSW LSCSW

• Chiropractor in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.