Provider Demographics
NPI:1659468015
Name:EATON, BRIAN SPENCER (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SPENCER
Last Name:EATON
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 1:1705 PACIFIC DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-8106
Mailing Address - Country:US
Mailing Address - Phone:919-873-2225
Mailing Address - Fax:
Practice Address - Street 1:1705 PACIFIC DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-8106
Practice Address - Country:US
Practice Address - Phone:919-873-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor