Individual provider Active NPI

Brian Con Bymers, D.C.

  • Chiropractor
  • Alexandria, MN
National Provider Identifier
1124195706
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4167 Issued in MN
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
494R7BYOtherMNBLUECROSS BLUESHIELD
P000233138OtherMNRAILROAD 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

LicenseStateTypeSpecialty
4167MNMDChiropractor
14817TXMDSpeech-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.

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.

Verify at the official NPI Registry.