DR. JONATHAN CORY BROYLES (NPI# 1013253194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013253194 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN CORY BROYLES |
| Credential | D.C. |
| Practice Address |
9945 Charlotte Hwy Fort Mill SC 29707-7134 |
| Practice Telephone | 8038028601 |
| Practice Fax Number | 8038027969 |
| Mailing Telephone | 8038028601 |
| Mailing Fax Number | 8038027969 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3789 | SC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211401 | Jonathan Broyles | Pharmacist | 248 S Main St, Jellico, TN 37762-2017 | 2016-08-30 |
| 1578909297 | Jonathan William Broyles | Physical Therapist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2013-05-21 |
| Street Address |
9945 CHARLOTTE HWY |
| City | FORT MILL |
| State | SC |
| Zip Code | 29707-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629183108 | Michael Thomas Costa | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29715-7134 | 2006-08-21 |
| 1679819726 | Broyles Chiropractic and Sports Medicine Pa | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29707-7134 | 2012-12-18 |
| 1689731531 | Costa Clinic of Chiropractic, LLC | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29715-7134 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| 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 |
|---|---|---|---|---|
| 1669037024 | Patrick Richard Klaus | Chiropractor | 3070 Drewsky Ln Unit 103, Fort Mill, SC 29715-0128 | 2019-05-01 |
| 1376008904 | Erin Magee | Chiropractor | 3071 Highway 21 Ste 103, Fort Mill, SC 29715-7206 | 2019-02-07 |
| 1093288474 | Michael B Mcintyre Jr. | Chiropractor | 1698 Highway 160 W Ste 140, Fort Mill, SC 29708-8033 | 2019-01-08 |
| 1538679022 | Chadwick Walker | Chiropractor | 3160 Highway 21 Ste 106, Fort Mill, SC 29715-8888 | 2017-10-10 |
| 1235501990 | Dynamic Chiropractic & Spinal Rehab | Chiropractor | 2714 Dunlin Dr, Fort Mill, SC 29707-9118 | 2015-10-21 |
| 1003235854 | Theresa Lobbestael | Chiropractor | 985 Market St Ste 201, Fort Mill, SC 29708-6533 | 2014-04-09 |
| 1457779969 | Ringston Chiropractic, PC | Chiropractor | 1162 Fort Mill Hwy Ste D, Fort Mill, SC 29707-7709 | 2014-04-01 |
| 1144560269 | Corey Riser | Chiropractor | 1674 Hwy 160 W, Fort Mill, SC 29708 | 2013-02-26 |
| 1164776183 | Logan Dean Evans | Chiropractor | 1245 Rosemont Dr Ste 120, Fort Mill, SC 29707-7765 | 2012-10-29 |
| 1922354034 | Jessica Harden | Chiropractor | 3071 Highway 21 Byp, Ste 103, Fort Mill, SC 29715-7205 | 2012-07-25 |
| Find all providers in FORT MILL | ||||
Please comment or provide details below to improve the information on DR. JONATHAN CORY BROYLES.
| 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.