Organization Active NPI

Dr. Matt Bryson, P.C.

  • Chiropractor
  • Greenville, IL
National Provider Identifier
1194912246
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. MATT BRYSON, P.C.
Practice address
555 E Harris Ave
Greenville, IL 62246-2213
Phone
(618) 664-0111
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Matt B Bryson
Title
Doctor
Phone
(618) 664-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

555 E Harris Ave
Greenville, IL 62246-2213

Mailing address

555 E Harris Ave
Greenville, IL 62246-2213

National Provider Directory

National Provider Directory

Locations

555 E Harris Ave
Greenville, IL 62246
Phone (618) 664-0111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1194912246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E HARRIS AVE",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARRIS AVE",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462213",
            "telephone_number": "618-664-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MATT BRYSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-664-0111"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.