Active NPI
Gregory Karl O'Bryant, D.C.
- Chiropractor
- Orem, UT
National Provider Identifier
1174612378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5616019-1202
- Practice address
- 218 E 800 S
Orem, UT 84058-5008 - Phone
- (801) 225-2457
- Fax
- (801) 225-2537
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 5616019-1202 | UT | Primary |
Addresses
Primary practice location
218 E 800 S
Orem, UT 84058-5008
Mailing address
218 E 800 S
Orem, UT 84058-5008
Phone (801) 225-2457
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 |
|---|---|---|---|
| 5616019-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1174612378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 E 800 S",
"city": "OREM",
"state": "UT",
"postal_code": "840585008",
"telephone_number": "801-225-2457",
"fax_number": "801-225-2537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 E 800 S",
"city": "OREM",
"state": "UT",
"postal_code": "840585008",
"telephone_number": "801-225-2457",
"fax_number": "801-225-2537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRYANT",
"first_name": "GREGORY",
"middle_name": "KARL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "5616019-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.