Active NPI
Kaleb Bryant, D.C.
- Chiropractor
- Victorville, CA
National Provider Identifier
1285319178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36688
- Practice address
- 17330 Bear Valley Rd
Ste 105
Victorville, CA 92395 - Phone
- (760) 245-8182
- Fax
- (760) 245-2123
- NPI assigned
- Jun 19, 2023
- 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 | DC36688 | CA | Primary |
Addresses
Primary practice location
17330 Bear Valley Rd
Ste 105
Victorville, CA 92395
Mailing address
17330 Bear Valley Rd
Ste 105
Victorville, CA 92395
Phone (760) 245-8182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17330 Bear Valley Rd
Suite 105
Victorville, CA 92395-7741
Phone (760) 245-5182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36688 | CA | MD | Chiropractor |
| 36688 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HD Physical Medicine, a Professional Medical Corporation | Chiropractor | Current | Accepting new patients |
Locations
17330 Bear Valley Rd
Ste 105
Victorville, CA 92395
Phone (760) 245-5182
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
- Victorville, CA
- NPI 1982633863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1285319178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17330 BEAR VALLEY RD",
"address_2": "STE 105",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92395",
"telephone_number": "760-245-8182",
"fax_number": "760-245-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17330 BEAR VALLEY RD",
"address_2": "STE 105",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92395",
"telephone_number": "760-245-8182",
"fax_number": "760-245-2123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "KALEB",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.