JOSHUA BRUCE HEADLEY (NPI# 1881947919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881947919 |
| Entity Type | Individual |
| Full Name | JOSHUA BRUCE HEADLEY |
| Credential | D.C. |
| Practice Address |
5122 North Rhett Avenue North Charleston SC 29405-4240 |
| Mailing Address |
5122 North Rhett North Charleston SC 29405-4240 |
| Practice Telephone | 8437442265 |
| Practice Fax Number | 8437474421 |
| Mailing Telephone | 8437442265 |
| Mailing Fax Number | 8437474421 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3715 | SC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881132710 | Joshua Ray Headley | Student in an Organized Health Care Education/Training Program | 1700 6th Ave N, Bessemer, AL 35020-4849 | 2017-02-12 |
| Street Address |
5122 NORTH RHETT AVENUE |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097600 | Shaun Anson | Chiropractor | 5150 Ashley Phosphate Rd, North Charleston, SC 29418-2839 | 2019-11-12 |
| 1215588132 | Michael Krueger | Chiropractor | 5750 Rivers Ave Ste A, North Charleston, SC 29406-6029 | 2019-09-23 |
| 1215418835 | Complete Chiropractic, PC | Chiropractor | 2409 Mall Dr Ste C, North Charleston, SC 29406-6506 | 2018-08-22 |
| 1255856878 | Spine-pain Center, LLC | Chiropractor | 5633 Rivers Ave, North Charleston, SC 29406-6022 | 2017-08-04 |
| 1952844797 | Morgan Iloncaie | Chiropractor | 2070 Northbrook Blvd Ste B5, North Charleston, SC 29406-9254 | 2016-11-28 |
| 1548712656 | Coastal Spine and Sport, LLC | Chiropractor | 7509 Northside Dr, Suite B, North Charleston, SC 29420-4211 | 2016-10-25 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1811267925 | Body Chiropractic | Chiropractor | 7671 Northwoods Blvd Ste G, North Charleston, SC 29406-4058 | 2012-01-05 |
| 1891948535 | Dr. Carolyn Hunter Professional Corporation | Chiropractor | 2102 Otranto Blvd., North Charleston, SC 29406 | 2008-10-28 |
| 1093905366 | Michael Tresnicky | Chiropractor | 5401 Netherby Ln Ste 201, North Charleston, SC 29420-7363 | 2007-08-01 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on JOSHUA BRUCE HEADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.