Active NPI
Bryan H McDonald, DC
- Chiropractor
- Tuscaloosa, AL
National Provider Identifier
1104860766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2082
- Practice address
- 1800 McFarland Blvd E,
Suite 340
Tuscaloosa, AL 35404-5882 - Phone
- (205) 345-8102
- Fax
- (205) 263-6478
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2082 | AL | Primary |
Addresses
Primary practice location
1800 McFarland Blvd E,
Suite 340
Tuscaloosa, AL 35404-5882
Mailing address
1800 McFarland Blvd E,
Suite 340
Tuscaloosa, AL 35404-5882
Phone (205) 345-8102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51527164 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1435 2ND CT E
Tuscaloosa, AL 35401-3276
Phone (205) 345-8102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2082 | AL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine & Sport Chiropractic, Inc | Chiropractor | Current | Accepting new patients |
| Skelton Chiropractic Center, Inc | Chiropractor | Past | Accepting new patients |
| Norris Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
1800 McFarland Blvd E
Ste 340
Tuscaloosa, AL 35404
Phone (205) 345-8102
1435 2nd Ct E
Tuscaloosa, AL 35401
Phone (205) 345-8102
Organizations & group practices 3
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.
-
- Chiropractor
- Tuscaloosa, AL
- NPI 1942353743
-
- Chiropractor
- Brent, AL
- NPI 1801233556
-
- Chiropractor
- Tuscaloosa, AL
- NPI 1285726273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1104860766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 MCFARLAND BLVD E,",
"address_2": "SUITE 340",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045882",
"telephone_number": "205-345-8102",
"fax_number": "205-263-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MCFARLAND BLVD E,",
"address_2": "SUITE 340",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045882",
"telephone_number": "205-345-8102",
"fax_number": "205-263-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "BRYAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51527164",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.