Provider Demographics
NPI:1912270976
Name:HOLMES, BRANDON SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:SCOTT
Last Name:HOLMES
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 1:945 E MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-2119
Mailing Address - Country:US
Mailing Address - Phone:864-542-0780
Mailing Address - Fax:864-542-1689
Practice Address - Street 1:945 E MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-2119
Practice Address - Country:US
Practice Address - Phone:864-542-0780
Practice Address - Fax:864-542-1689
Is Sole Proprietor?:No
Enumeration Date:2012-02-21
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor