Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southport Chiropractic Office, PC

Organization Nutrition Chiropractor · NPI 1780884973

Southport Chiropractic Office, PC is a Nutrition Chiropractor in Fairfield, Connecticut. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1995 Post Rd
Fairfield, CT 06824-5723
Phone: (203) 259-4731
Fax: (203) 259-7319
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Chiropractor (primary) Taxonomy 111NN1001X

Record details

NPI number1780884973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas S. Bogannam Bogannam — President · (203) 259-4731
NPI enumeratedJuly 25, 2007
Last updated in NPPESNovember 10, 2010
Mailing address1995 Post Rd, Fairfield, CT 06824-5723

Other providers in Fairfield