Individual provider Active NPI

Bryan Burgos Valdespino, DC

  • Chiropractor
  • Miami Lakes, FL
National Provider Identifier
1245031368
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1479 Issued in FL
Practice address
15426 NW 77TH CT
Miami Lakes, FL 33016-5803
Phone
(305) 699-2227
NPI assigned
Mar 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH1479 FL Primary

Addresses

Primary practice location

15426 NW 77TH CT
Miami Lakes, FL 33016-5803

Mailing address

17455 NW 94TH CT Apt 220
Hialeah, FL 33018-4444
Phone (787) 312-1612

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH1479FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Spine Institute Chiropractor CurrentSince Mar 30, 2025 Accepting new patients

Locations

15426 NW 77th Ct
Miami Lakes, FL 33016
Phone (305) 558-4650

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1245031368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17455 NW 94TH CT APT 220",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184444",
            "telephone_number": "787-312-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15426 NW 77TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165803",
            "telephone_number": "305-699-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS VALDESPINO",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.