Individual provider Active NPI

Bryan Jeffrey Christoffer, DC

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1255893400
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3191 Issued in TN
Practice address
1309 Panorama Dr Ste 115
Chattanooga, TN 37421-4772
Phone
(423) 541-3771
Fax
(423) 541-3771
NPI assigned
Apr 4, 2019
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3191 TN Primary

Addresses

Primary practice location

1309 Panorama Dr Ste 115
Chattanooga, TN 37421-4772

Mailing address

1309 Panorama Dr Ste 115
Chattanooga, TN 37421-4772
Phone (423) 541-3771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920002803 TN Practitioner - Chiropractic 0840520664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
200 Chiro Christoffer, LLCGroup PAC ID 1759775117, 3 clinicians

Practice addresses (Care Compare)

1309 Panorama Dr
Suite 107
Chattanooga, TN 37421-4771
Phone (423) 541-3771

1738 Dayton Blvd
Suite 114
Chattanooga, TN 37405-2188
Phone (423) 800-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3191TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
200 Chiro Christoffer, LLC Chiropractor CurrentSince Dec 15, 2021 Accepting new patients

Locations

1738 Dayton Blvd
Ste 114
Chattanooga, TN 37405
Phone (423) 800-0100

Organizations & group practices 2

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1255893400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 PANORAMA DR STE 115",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214772",
            "telephone_number": "423-541-3771",
            "fax_number": "423-541-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 PANORAMA DR STE 115",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214772",
            "telephone_number": "423-541-3771",
            "fax_number": "423-541-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOFFER",
        "first_name": "BRYAN",
        "middle_name": "JEFFREY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.