MEDICARE: BRAYER CHIROPRACTIC PS

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	111NR0400X	Rehabilitation Chiropractor	3151	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730259417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAYER CHIROPRACTIC PS

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	:	CHAIRMAN OF THE BOARD
Name	:	NIGEL CHRISTIAN BRAYER
Credential	:	D.C.
Telephone Number	:	440-877-9440

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	01/30/2013

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