Individual provider Active NPI

Bryan Pascoe, D.C.

  • Chiropractor
  • Nashville, TN
National Provider Identifier
1033599329
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2862 Issued in TN
Practice address
99 White Bridge Rd
Suite 201
Nashville, TN 37205-1448
Phone
(615) 352-4455
Fax
(615) 352-1762
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2862 TN Primary

Addresses

Primary practice location

99 White Bridge Rd
Suite 201
Nashville, TN 37205-1448

Mailing address

99 White Bridge Rd
Suite 201
Nashville, TN 37205-1448
Phone (615) 352-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104002015 TN Practitioner - Chiropractic 2567764889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Tennessee Chiropractic and Functional Neurology CenterGroup PAC ID 8022310341, 3 clinicians

Practice addresses (Care Compare)

28 White Bridge Rd
Suite 316
Nashville, TN 37205-1467
Phone (615) 352-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2862TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Chiropractic and Functional Neurology Center Chiropractor CurrentSince Jun 28, 2015 Accepting new patients

Locations

28 White Bridge Pike
Ste 316
Nashville, TN 37205
Phone (615) 352-4455

99 White Bridge Pike
Ste 201
Nashville, TN 37205
Phone (615) 352-4455

99 White Bridge Pike
Nashville, TN 37205
Phone (270) 776-4810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1033599329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WHITE BRIDGE RD",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051448",
            "telephone_number": "615-352-4455",
            "fax_number": "615-352-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WHITE BRIDGE RD",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051448",
            "telephone_number": "615-352-4455",
            "fax_number": "615-352-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCOE",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.

Verify at the official NPI Registry.