Randy S Bryant, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034372 Issued in WA

Practice address

12443 Bel Red Rd
Suite 310
Bellevue, WA 98005-2534

Phone

(425) 890-0142

Fax

(425) 412-4949

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1003975491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 141ST PL NE # C4",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074752",
            "telephone_number": "425-890-6385",
            "fax_number": "425-412-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12443 BEL RED RD",
            "address_2": "SUITE 310",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052534",
            "telephone_number": "425-890-0142",
            "fax_number": "425-412-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "RANDY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan D Bryant, DDS
• Ekaterina Nikolova Bryant, LMP
• Elizabeth A Bryant
• Ines Esteves Bryant
• Jeanette Bryant
• Susan Hyde Bryar, ARNP
• Daniel Alfred Brzusek, D.O.
• Melissa Helen Brzusek
• Sydney Buchli
• Michele Buck

• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.