GREAT BRIDGE CHIROPRACTIC PHYSICIAN PC NPI 1134153448

NPI Information

  • NPI: 1134153448
  • Provider Name: GREAT BRIDGE CHIROPRACTIC PHYSICIAN PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: CHESAPEAKE SPINE CENTER
  • CLIA Number: 49D0967341
  • Address: 676 KINGSBOROUGH SQ
    SUITE C
    CHESAPEAKE, VA
    ZIP 23320
  • Phone: (757) 549-2273

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NPI Details

GREAT BRIDGE CHIROPRACTIC PHYSICIAN PC is a chiropractor in Chesapeake, VA. The provider is 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. GREAT BRIDGE CHIROPRACTIC PHYSICIAN PC NPI is 1134153448. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chesapeake Spine Center.

The provider's business location address is:

676 KINGSBOROUGH SQ
SUITE C
CHESAPEAKE, VA
ZIP 23320-954
Phone: (757) 549-2273
Fax: (757) 548-1980

The provider's authorized official is Darryl Evan Macdowall .
The authorized official title is Owner/president and has the following contact phone number (757) 549-2273.

The CLIA number assigned to this NPI record is 49D0967341 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor0104001072VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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