SPINE & SPORT CHIROPRACTIC, INC (NPI# 1942353743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942353743 |
| Entity Type | Organization |
| Organization Name | SPINE & SPORT CHIROPRACTIC, INC |
| Practice Address |
1800 Mcfarland Blvd E Ste 340 Tuscaloosa AL 35404-5882 |
| Practice Telephone | 2053934308 |
| Mailing Telephone | 2053934308 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | DR. BRYAN H MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 2053934308 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2082 | AL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | INDIVIDUAL NPI | 1104860766 | 01 |
| AL | BCBS | 51527164 | 01 |
| Street Address |
1800 MCFARLAND BLVD E STE 340 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-5882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836815 | Jessica Griffin | Chiropractor | 1800 Mcfarland Blvd E Ste 340, Tuscaloosa, AL 35404-5882 | 2019-02-01 |
| 1588174783 | Sarah Williams Renfroe | Chiropractor | 1800 Mcfarland Blvd E Ste 340, Tuscaloosa, AL 35404-5882 | 2017-10-03 |
| 1144642158 | Amanda Prusak | Specialist/Technologist | 1800 Mcfarland Blvd E Ste 340, Tuscaloosa, AL 35404-5882 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| 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 |
|---|---|---|---|---|
| 1124553078 | Corey Alexander Neill | Chiropractor | 2110 Mcfarland Blvd E, Suite E, Tuscaloosa, AL 35404-5857 | 2017-04-28 |
| 1548625379 | Jrfreeman LLC | Chiropractor | 9770 Highway 69 S, Unit A, Tuscaloosa, AL 35405-8781 | 2015-12-21 |
| 1659718013 | Elite Wellness & Chiropractic | Chiropractor | 1000 13th St E, Ste D, Tuscaloosa, AL 35404-3809 | 2013-05-25 |
| 1982729398 | Troy Hagen | Chiropractor | 2602 7th St, Tuscaloosa, AL 35401-1804 | 2007-03-21 |
| 1659409845 | Avery Q Carr | Chiropractor | 2403 University Blvd E, Tuscaloosa, AL 35404-4141 | 2007-03-01 |
| 1003972993 | Donna Lynn Fisher | Chiropractor | 1025 15th St, Suite D, Tuscaloosa, AL 35401-3300 | 2006-12-28 |
| 1104982008 | Donald Wayne Rhodes Jr. | Chiropractor | 1040 Lurleen B Wallace Blvd S, Suite A, Tuscaloosa, AL 35401-2219 | 2006-12-28 |
| 1346305919 | James Henry Hodges Jr. | Chiropractor | 631 28th Avenue, Tuscaloosa, AL 35401 | 2006-12-26 |
| 1548337652 | David Richardson, D.c., P.C. | Chiropractor | 2300 Mcfarland Blvd E, Suite 0a, Tuscaloosa, AL 35404-5853 | 2006-11-30 |
| 1740377142 | Michael David Tremba | Chiropractor | 1000 13th St E Ste D, Tuscaloosa, AL 35404 | 2006-10-06 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35404 |
Please comment or provide details below to improve the information on SPINE & SPORT CHIROPRACTIC, INC.
| 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.