Bryan Michael Wylie, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2421 Issued in AL

Practice address

100 Providence Main St NW
Suite D
Huntsville, AL 35806-4826

Phone

(256) 801-7227

Fax

(256) 361-9942

NPI assigned

Aug 15, 2011

Sex

Male

Sole proprietor

No

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

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wylie Enterprises, Inc

  • Chiropractor
  • Huntsville, AL
  • NPI 1861821605
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1043599699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROVIDENCE MAIN ST NW",
            "address_2": "SUITE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064826",
            "telephone_number": "256-801-7227",
            "fax_number": "256-361-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROVIDENCE MAIN ST NW",
            "address_2": "SUITE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064826",
            "telephone_number": "256-801-7227",
            "fax_number": "256-361-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "BRYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Whitten Wright Jr., M.D.
• Yaritza M Wright, DMD
• Kathryn L Wyatt, N.P.
• Ronald M Wyatt, M.D.
• Wylie Enterprises, Inc
• Jerrel Wynn
• William Brandon Wynn, ARNP, FNP-BC
• M Roxanne Wysock, LPC
• Niraj Phillip Xavier, MD
• Xpress Transport Services LLC

• Chiropractor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.