Provider Demographics
NPI:1811429269
Name:MEIER, BRANTLEY (DC)
Entity type:Individual
Prefix:
First Name:BRANTLEY
Middle Name:
Last Name:MEIER
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 1:2409 MALL DR
Mailing Address - Street 2:STE C
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-6506
Mailing Address - Country:US
Mailing Address - Phone:843-297-4907
Mailing Address - Fax:854-444-2998
Practice Address - Street 1:2409 MALL DR
Practice Address - Street 2:STE C
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-6506
Practice Address - Country:US
Practice Address - Phone:843-297-4907
Practice Address - Fax:854-444-2998
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4215111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor