Provider Demographics
NPI:1942519780
Name:CARLTON, BRIAN CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:CHRISTOPHER
Last Name:CARLTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7212 US HIGHWAY 19
Mailing Address - Street 2:STE. 1
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-1641
Mailing Address - Country:US
Mailing Address - Phone:727-484-6940
Mailing Address - Fax:727-484-6940
Practice Address - Street 1:7212 US HIGHWAY 19
Practice Address - Street 2:STE. 1
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-1641
Practice Address - Country:US
Practice Address - Phone:727-484-6740
Practice Address - Fax:727-484-6942
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-011761111N00000X
FLCH10514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL011138300Medicaid