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NPI Code Detail

MEDICARE: DR. SAMUEL COLT BRINKLEY D.C.

MEDICARE:  DR. SAMUEL COLT BRINKLEY  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
1111NR0400XRehabilitation Chiropractor0104556593VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10104556593OTHERVACHIROPRACTIC LICENSE

General Provider Information

NPI Number : 1477757888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL COLT BRINKLEY D.C.
Provider Business Mailing Address
First Line : PO BOX 700688
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78270-0688
Country : US
Telephone Number : 210-318-3007
Fax Number : 210-468-0682
Provider Business Practice Location Address
First Line : 3400 HAYDENPARK LN STE 300
Second Line :
City : HENRICO
State : VA
Zip : 23233-7867
Country : US
Telephone Number : 800-404-6050
Fax Number : 866-313-3397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 11/21/2022

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Directions to “ DR. SAMUEL COLT BRINKLEY D.C.” Practice Location

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