NPIMap

Organization Active NPI

Brannon Family Chiropractic LLC

Doing business as Family Practice of Chiropractic

  • Chiropractor
  • Chapin, SC
National Provider Identifier
1982011623
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRANNON FAMILY CHIROPRACTIC LLC
Doing business as
Family Practice of Chiropractic
Practice address
203 Amicks Ferry Rd Ste 800
Chapin, SC 29036-8695
Phone
(039) 329-3998
Fax
(803) 948-9322
NPI assigned
Jul 15, 2014
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Dr. Ricky Dean Brannon Jr., D.C.NPI 1730596578
Title
Owner
Phone
(803) 609-1806

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 1

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

Addresses

Primary practice location

203 Amicks Ferry Rd Ste 800
Chapin, SC 29036-8695

Mailing address

203 Amicks Ferry Rd Ste 800
Chapin, SC 29036-8695
Phone (803) 932-9399

Other practice location 1

101 Grace Street
Prosperity, SC 29127
Phone (803) 227-4891

Other names 1

  • Family Practice of Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141114002284 SC Part B Supplier - Clinic/Group Practice 7416179007 Receives reassigned benefits from 2 practitioners
Practice locations: Chapin, SC; Prosperity, SC

National Provider Directory

National Provider Directory
Tax ID family
Brannon Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1982011623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AMICKS FERRY RD STE 800",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368695",
            "telephone_number": "803-932-9399",
            "fax_number": "803-948-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AMICKS FERRY RD STE 800",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368695",
            "telephone_number": "039-329-3998",
            "fax_number": "803-948-9322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Grace Street",
            "address_purpose": "LOCATION",
            "city": "Prosperity",
            "state": "SC",
            "postal_code": "29127",
            "country_code": "US",
            "telephone_number": "803-227-4891",
            "fax_number": "803-948-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANNON FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-609-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.