Individual provider Active NPI

Rachael L Bryant, D.C.

  • Chiropractor
  • Bridgeport, WV
National Provider Identifier
1033392931
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
877 Issued in WV
Practice address
109B Doctors Dr
Bridgeport, WV 26330-1720
Phone
(304) 842-4202
Fax
(304) 842-6480
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 877 WV Primary

Addresses

Primary practice location

109B Doctors Dr
Bridgeport, WV 26330-1720

Mailing address

109B Doctors Dr
Bridgeport, WV 26330-1720
Phone (304) 842-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
877WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Mason Chiropractic PLLC Chiropractor PastSince Mar 1, 2006 Accepting new patients
Sandra K Cunningham, DC Chiropractor PastSince Apr 20, 2001 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1033392931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109B DOCTORS DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301720",
            "telephone_number": "304-842-4202",
            "fax_number": "304-842-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109B DOCTORS DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301720",
            "telephone_number": "304-842-4202",
            "fax_number": "304-842-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "RACHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.