Active NPI
Brian W Tolman, D.C.
- Chiropractor
- West Haven, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5256286-1202
- Practice address
- 4645 South Midland Drive
Suite 2
West Haven, UT 84401-9507 - Phone
- (801) 731-9899
- NPI assigned
- Jun 22, 2006
- Last updated
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5256286-1202 | UT | Primary |
Addresses
Primary practice location
4645 South Midland Drive
Suite 2
West Haven, UT 84401-9507
Mailing address
4645 South Midland Drive
Suite 2
West Haven, UT 84401-9507
Phone (801) 731-9899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3384 W 4600
Suite 1
West Haven, UT 84401-9222
Phone (801) 731-9899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Well Chiropractic , P.C. | Chiropractor | Current | Accepting new patients |
Locations
1290 E Highway 193
#102
Layton, UT 84040
Phone (801) 771-2200
3384 W 4600 S
Ste 1
West Haven, UT 84401
Phone (801) 731-9899
4645 Midland Dr
Ste 2
West Haven, UT 84401
Phone (801) 332-9139
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1013953363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 SOUTH MIDLAND DRIVE",
"address_2": "SUITE 2",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "844019507",
"telephone_number": "801-731-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 SOUTH MIDLAND DRIVE",
"address_2": "SUITE 2",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "844019507",
"telephone_number": "801-731-9899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLMAN",
"first_name": "BRIAN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "5256286-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Haven, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.