Individual provider Active NPI

Bryce Garst, DC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1124524111
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8711 Issued in AZ
Practice address
6836 E Brown Rd Ste 102
Mesa, AZ 85207-3756
Phone
(480) 582-3739
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8711 AZ Primary

Addresses

Primary practice location

6836 E Brown Rd Ste 102
Mesa, AZ 85207-3756

Mailing address

2451 E Baseline Rd Ste 450
Gilbert, AZ 85234-2473
Phone (480) 656-1233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509001940 AZ Practitioner - Chiropractic 3072877562 Reassigns benefits to 2 organizations
Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6836 E Brown Rd
Suite 102
Mesa, AZ 85207-3756
Phone (480) 582-3739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8711AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Chiropractic Clinic LLC Chiropractor CurrentSince Apr 20, 2018 Accepting new patients
The Well Chiropractic Clinic 2 Chiropractor Current Accepting new patients
Well Chiropractic Clinic 2 LLC Chiropractor CurrentSince Oct 1, 2020 Accepting new patients

Locations

2451 E Baseline Rd
Ste 450
Gilbert, AZ 85234
Phone (480) 229-4588

6836 E Brown Rd
Ste 102
Mesa, AZ 85207
Phone (480) 582-3739

4852 E Baseline Rd
Ste 109
Mesa, AZ 85206
Phone (480) 229-4588

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.

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1124524111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 450",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342473",
            "telephone_number": "480-656-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 E BROWN RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073756",
            "telephone_number": "480-582-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARST",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.