Individual provider Active NPI

William G Bryson Jr., DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1174585210
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1317 Issued in NE
Practice address
3120 O St
Ste B
Lincoln, NE 68510-1548
Phone
(402) 476-6767
Fax
(402) 476-6003
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1317 NE Primary

Addresses

Primary practice location

3120 O St
Ste B
Lincoln, NE 68510-1548

Mailing address

3120 O St
Ste B
Lincoln, NE 68510-1548
Phone (402) 476-6767

Other identifiers 2

IdentifierTypeStateIssuer
09552OtherNEBLUE CROSS BLUE SHIELD
10025042300MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322001032 NE Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 4082897509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3120 O St
Suite B
Lincoln, NE 68510-1548
Phone (402) 476-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Chiropractic PC Chiropractor CurrentSince Jul 1, 2003 Accepting new patients

Locations

3120 O St
Ste B
Lincoln, NE 68510
Phone (402) 474-9029

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174585210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 O ST",
            "address_2": "STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101548",
            "telephone_number": "402-476-6767",
            "fax_number": "402-476-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 O ST",
            "address_2": "STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101548",
            "telephone_number": "402-476-6767",
            "fax_number": "402-476-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09552",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025042300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.