Active NPI
Roxzanne Beason Breland, D.C.
- Chiropractor
- Greer, SC
National Provider Identifier
1982739447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1053
- Practice address
- 1610 Poplar Drive Ext
Greer, SC 29651-6602 - Phone
- (864) 228-0047
- Fax
- (864) 963-0870
- NPI assigned
- Feb 23, 2007
- Last updated
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1053 | SC | Primary |
Addresses
Primary practice location
1610 Poplar Drive Ext
Greer, SC 29651-6602
Mailing address
1610 Poplar Drive Ext
Greer, SC 29651-6602
Phone (864) 569-8221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH1053 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1053 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1982739447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 POPLAR DRIVE EXT",
"city": "GREER",
"state": "SC",
"postal_code": "296516602",
"telephone_number": "864-569-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 POPLAR DRIVE EXT",
"city": "GREER",
"state": "SC",
"postal_code": "296516602",
"telephone_number": "864-228-0047",
"fax_number": "864-963-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRELAND",
"first_name": "ROXZANNE",
"middle_name": "BEASON",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH1053",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.