Bryan Burk Graham, D.C., C.C.S.P

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2158 Issued in MA

Practice address

34 Long Pond Rd
Plymouth, MA 02360-2606

Phone

(508) 747-1434

Fax

(508) 747-0772

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graham Chiropractic Center, IncGroup PAC ID 5395820310, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Graham Chiropractic Center Inc

  • Chiropractor
  • Plymouth, MA
  • NPI 1023188141

  Sports Physician

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1083708937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LONG POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602606",
            "telephone_number": "508-747-1434",
            "fax_number": "508-747-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LONG POND RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602606",
            "telephone_number": "508-747-1434",
            "fax_number": "508-747-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BRYAN",
        "middle_name": "BURK",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "2158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1608550",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "28387",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3303802",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "352411",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y36728",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4401065",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "698922",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "470633",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devon Govoni
• David Grace, M.D.
• Deborah F Grace, LICSW
• Graham Chiropractic Center Inc
• Aleathia D Graham, CLINICIAN INTERN
• Elizabeth Graham
• Ashley Granger, BA
• Diana Carol Granger, M.S. CCC-SLP
• Joseph J Grant, O.D.
• Aimee Koren Gray Pickett, OD

• Sports Physician Chiropractor in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Sports Physician Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.