Bracey Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2608 Issued in SC

Legal business name

BRACEY CHIROPRACTIC CENTER

Practice address

4122 W Beltline Blvd
Columbia, SC 29204-1509

Phone

(803) 254-6730

Fax

(803) 254-6323

NPI assigned

Apr 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Troy B Martin, DCNPI 1831234996

Title

Owner

Phone

(803) 254-6730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Troy B Martin, DC

  • Chiropractor
  • Seneca, SC
  • NPI 1831234996
  NPD (past) Authorized official

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1972723112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 W BELTLINE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041509",
            "telephone_number": "803-254-6730",
            "fax_number": "803-254-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 W BELTLINE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041509",
            "telephone_number": "803-254-6730",
            "fax_number": "803-254-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACEY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-254-6730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH110",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Walton Boyter Jr., MD
• Maria Jocelyn Visda Bozard
• Angus McKay Brabham III, MD
• Cierra Latreece Brabham, LPC, LCMHC
• Gerald Alfred Bracete, FNP-BC
• Michelle Brack, APRN
• Lisa Bracken
• Melanie Anne Brackey, PT, DPT
• Sally Roberts Braden, LCSW
• Patricia Allen Bradford, LISW-CP,LMFT

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.