MEDICARE: DR. NIGEL BRAYER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3151	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1385	OTHER		CHIROPRACTIC LIFECARE OF
2	640281	OTHER		ACN
3	3151	OTHER	OH	STATE LICENSE
4	664821523	OTHER		MEDICAL MUTUAL REFERRAL
5	1810903	OTHER		UNITED HEALTHCARE
6	9119098823A12	OTHER		ANTHEM BC/BS
7	0005078	OTHER		CIGNA 3
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	2783428	OTHER		AETNA
10	5471676	OTHER		AETNA

General Provider Information

NPI Number	:	1316943467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIGEL BRAYER D.C.

Provider Business Mailing Address
First Line	:	11443 STATE RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3262
Country	:	US
Telephone Number	:	440-877-9440
Fax Number	:	440-877-9446

Provider Business Practice Location Address
First Line	:	11443 STATE RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3262
Country	:	US
Telephone Number	:	440-877-9440
Fax Number	:	440-877-9446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	01/30/2013

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