MR. PHILIP EDWARD BRAFFORD JR. (NPI# 1952347320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952347320 |
| Entity Type | Individual |
| Full Name | MR. PHILIP EDWARD BRAFFORD JR. |
| Credential | DC |
| Practice Address |
1742 W Cherokee Street Blacksburg SC 29702 |
| Practice Telephone | 8648392776 |
| Practice Fax Number | 8648392776 |
| Mailing Telephone | 8648392776 |
| Mailing Fax Number | 8648392776 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 3095 | NC | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 2277 | SC | Chiropractic Providers |
| Street Address |
1742 W CHEROKEE STREET |
| City | BLACKSBURG |
| State | SC |
| Zip Code | 29702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316315054 | Jim Nasim Dmd, Pa | Dentist | 305 West Pine Street, Blacksburg, SC 29702 | 2015-09-11 |
| 1396163317 | Tammie Peterson | Licensed Practical Nurse | 402 Hardin Street, Blacksburg, SC 29702 | 2014-04-07 |
| 1861810343 | Tamera Randolph | Registered Nurse | 201 W. Ramseur Dr., Blackburg, SC 29702 | 2014-04-02 |
| 1821424045 | Healthstat On-site Clinic/milliken Allen | Preventive Medicine | 164 Milliken St, Blacksburg, SC 29702 | 2013-09-19 |
| 1942636154 | Healthstat On-site Clinic/milliken Magnolia | Preventive Medicine | 157 Milliken Rd., Blacksburg, SC 29702 | 2013-09-19 |
| 1366605214 | Leah Quirita Walden | Dentist | 2022 Cherry Road, Rock Hill, SC 29702 | 2008-07-09 |
| 1972792398 | Ron C Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702 | 2007-10-22 |
| 1457828329 | Supreme Management and Associates, LLC | Home Health | 107 1/2 W Cherokee St, Blacksburg, SC 29702-1501 | 2018-10-30 |
| 1518221258 | Jamie S Earls | Massage Therapist | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2012-06-27 |
| 1629391230 | Sisk Chiropractic Clinic | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2010-03-10 |
| Find all providers in zip 29702 | ||||
| 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 |
|---|---|---|---|---|
| 1548688914 | Tennille Ponte | Chiropractor | 801 Triangle St, Blacksburg, VA 24060-7701 | 2014-04-02 |
| 1518113406 | James Glenn Drewry | Chiropractor | 620 N. Main St, Blacksburg, VA 24060 | 2008-08-12 |
| 1972792398 | Ron C Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702 | 2007-10-22 |
| 1366461600 | Steve A Prupas | Chiropractor | 203 Church St Se, Blacksburg, VA 24060-4803 | 2006-07-18 |
| 1245298439 | Kenneth Todd Hicks | Chiropractor | 1999 S Main St, Suite 305-a, Blacksburg, VA 24060-6634 | 2006-05-04 |
| 1629391230 | Sisk Chiropractic Clinic | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2010-03-10 |
| 1952632846 | Jonathan D Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2010-01-17 |
| 1942477328 | South Main Chiropractic Clinic Inc | Chiropractor | 401 S Main St, Suite 401, Blacksburg, VA 24060-4898 | 2008-05-14 |
| 1922271741 | Christopher A Belluzzo | Chiropractor | 401 S Main St, Suite 401, Blacksburg, VA 24060-4898 | 2008-04-13 |
| 1871763763 | Tilley Chiropractic and Sports Injury Clinic | Chiropractor | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2008-03-06 |
| Find all providers in BLACKSBURG | ||||
| City | BLACKSBURG |
| Zip Code | 29702 |
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| 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.