Individual provider Active NPI

Jessica Dell Bryant, D.C.

  • Chiropractor
  • Killeen, TX
National Provider Identifier
1073791968
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10815 Issued in TX
Practice address
1201 Winkler Ave
Killeen, TX 76542-6108
Phone
(254) 699-4004
Fax
(254) 699-4056
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10815 TX Primary

Addresses

Primary practice location

1201 Winkler Ave
Killeen, TX 76542-6108

Mailing address

1201 Winkler Ave
Killeen, TX 76542-6108
Phone (254) 699-4004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000260 TX Practitioner - Chiropractic 0749368017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corrective Chiropractic P.a.Group PAC ID 6002095502, 4 clinicians

Practice addresses (Care Compare)

560 E Central Texas Expy
Suite 102
Harker Heights, TX 76548-5625
Phone (254) 698-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10815TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Chiropractic P.a. Chiropractor CurrentSince Oct 1, 2014 Accepting new patients

Locations

560 E Central Texas Expy
Harker Hts, TX 76548
Phone (254) 698-1600

560 E Central Texas Expy
Ste 102
Harker Hts, TX 76548
Phone (254) 677-6555

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": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1073791968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WINKLER AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426108",
            "telephone_number": "254-699-4004",
            "fax_number": "254-699-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WINKLER AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426108",
            "telephone_number": "254-699-4004",
            "fax_number": "254-699-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JESSICA",
        "middle_name": "DELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.