Active NPI
Bryan Randolph Yuncker, D.C.
- Chiropractor
- Houston, TX
National Provider Identifier
1235500802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13050
- Practice address
- 110 Vintage Park Blvd
Suite D, Building J
Houston, TX 77070-4047 - Phone
- (281) 251-3531
- Fax
- (877) 688-2225
- NPI assigned
- Oct 8, 2015
- 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 | 13050 | TX | Primary |
Addresses
Primary practice location
110 Vintage Park Blvd
Suite D, Building J
Houston, TX 77070-4047
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
106 Vision Park Blvd
Shenandoah, TX 77384-3000
Phone (713) 442-1800
Other practice location 2
10701 Vintage Preserve Pkwy
Houston, TX 77070-2158
Phone (713) 442-1500
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 |
|---|---|---|---|
| 13050 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Typ Chiropractic,LLC | Chiropractor | Current | Accepting new patients |
Interoperability endpoints
- byuncker48022@direct.kelsey-seybold.com
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.
-
- Chiropractor
- Houston, TX
- NPI 1427569789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1235500802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 VINTAGE PARK BLVD",
"address_2": "SUITE D, BUILDING J",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704047",
"telephone_number": "281-251-3531",
"fax_number": "877-688-2225"
}
],
"practiceLocations": [
{
"address_1": "106 Vision Park Blvd",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773843000",
"country_code": "US",
"telephone_number": "713-442-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10701 Vintage Preserve Pkwy",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770702158",
"country_code": "US",
"telephone_number": "713-442-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUNCKER",
"first_name": "BRYAN",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-08",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.