Active NPI
Brian Con Bymers, D.C.
- Chiropractor
- Alexandria, MN
National Provider Identifier
1124195706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4167
- Practice address
- 507 N Nokomis St
Suite 202
Alexandria, MN 56308-2352 - Phone
- (320) 762-2639
- Fax
- (320) 762-2650
- NPI assigned
- Nov 29, 2006
- Last updated
- Nov 13, 2012
- 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 | 4167 | MN | Primary |
Addresses
Primary practice location
507 N Nokomis St
Suite 202
Alexandria, MN 56308-2352
Mailing address
507 N Nokomis St
Suite 202
Alexandria, MN 56308-2352
Phone (320) 762-2639
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 494R7BY | Other | MN | BLUECROSS BLUESHIELD |
| P000233138 | Other | MN | RAILROAD MEIDCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4167 | MN | MD | Chiropractor |
| 14817 | TX | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Alexandria, MN
- NPI 1811184336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1124195706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 N NOKOMIS ST",
"address_2": "SUITE 202",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082352",
"telephone_number": "320-762-2639",
"fax_number": "320-762-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 N NOKOMIS ST",
"address_2": "SUITE 202",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082352",
"telephone_number": "320-762-2639",
"fax_number": "320-762-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYMERS",
"first_name": "BRIAN",
"middle_name": "CON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "494R7BY",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEIDCARE",
"identifier": "P000233138",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.