CMS-1500 Box 24J / 33a • NPI
1346595410
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
111NR0400X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation
Box 32 Service Location & ZIP+4
1400 JOHN B WHITE SR BLVD, SPARTANBURG, SC, 29306-3927
✓ 9-Digit EDI 837 ZIP+4 (29306-3927)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1346595410 (CLAYTON LEE BROOME, D.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1346595410 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CLAYTON LEE BROOME, D.C. |
| Plain-English Specialty | Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation NUCC Code: 111NR0400X (Chiropractor, Rehabilitation) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1400 JOHN B WHITE SR BLVD, SPARTANBURG, SC, 29306-3927 |
| Practice Telephone / Fax | Tel: (864) 707-0123 | Fax: (864) 752-9443 |
| Administrative Mailing Address | PO BOX 777, ROEBUCK, SC, 29376-0777 |
| Enumeration & Last Sync | Enumerated: 2012-07-16 | CMS Record Updated: 2023-09-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (111NR0400X)
What Does Taxonomy Code 111NR0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NR0400X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CLAYTON LEE BROOME, D.C.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
111N00000X — ChiropractorPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor | State: SC | License: 3754 | Primary: Secondary |
111NR0400X — Chiropractor, RehabilitationPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation | State: SC | License: 3754 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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