Individual provider Active NPI

Bryan Claude Kestler, D.C.

  • Chiropractor
  • Port Lavaca, TX
National Provider Identifier
1205849593
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8146 Issued in TX
Practice address
2203 N Hwy 35
#A
Port Lavaca, TX 77979-5208
Phone
(361) 552-4040
Fax
(361) 552-0908
NPI assigned
Aug 15, 2006
Last updated
Dec 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8146 TX Primary

Addresses

Primary practice location

2203 N Hwy 35
#A
Port Lavaca, TX 77979-5208

Mailing address

2203 N Hwy 35
#A
Port Lavaca, TX 77979-5208
Phone (361) 552-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330000055 TX Practitioner - Chiropractic 3870751282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2203 State Hwy 35 N
Suite a
Port Lavaca, TX 77979-5200

2203 State Hwy 35 N a
Accident and Injury Center
Port Lavaca, TX 77979-5208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8146TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kestler Chiropractic Clinic,LLC Chiropractor CurrentSince Aug 21, 2001 Accepting new patients

Locations

2203 State Highway 35 N
Port Lavaca, TX 77979
Phone (361) 552-4040

2203 State Highway 35 N
Ste A
Port Lavaca, TX 77979
Phone (361) 552-4040

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1205849593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 N HWY 35",
            "address_2": "#A",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779795208",
            "telephone_number": "361-552-4040",
            "fax_number": "361-552-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 N HWY 35",
            "address_2": "#A",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779795208",
            "telephone_number": "361-552-4040",
            "fax_number": "361-552-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTLER",
        "first_name": "BRYAN",
        "middle_name": "CLAUDE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Lavaca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.