Provider Demographics
NPI:1437329414
Name:GREGG G BRANTON
Entity Type:Organization
Organization Name:GREGG G BRANTON
Other - Org Name:MANATEE CHIROPRACTIC & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:GAMBLE
Authorized Official - Last Name:BRANTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-462-2663
Mailing Address - Street 1:PO BOX 896
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-0896
Mailing Address - Country:US
Mailing Address - Phone:941-462-2663
Mailing Address - Fax:941-527-1433
Practice Address - Street 1:7216 US HIGHWAY 301 N
Practice Address - Street 2:SUITE #110
Practice Address - City:ELLENTON
Practice Address - State:FL
Practice Address - Zip Code:34222-3462
Practice Address - Country:US
Practice Address - Phone:941-462-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty