Bryan M Dana, D.C.
Individual provider Active NPI Chiropractor · Perry, UT
NPI 1285915876 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1285915876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 13696867-1202 (UT)
- Practice address
- 1950 S Highway 89 Ste B
Perry, UT 84302-4459 - Phone
- (435) 465-5009
- NPI assigned
- Sep 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1950 S Hwy 89
Suite B
Perry, UT 84302-4459
Phone (435) 465-5009
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240802000505 | UT | Practitioner - Chiropractic | 2466999818 | Practice locations: Perry, UT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care Chiropractic, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
97 S Main St
Brigham City, UT 84302
1950 S Highway 89
Ste B
Perry, UT 84302
Phone (435) 465-5009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8207 | AZ | |
| Chiropractor |
111N00000X | 13696867-1202 | UT | Yes |
Addresses
Primary practice location
1950 S Highway 89 Ste B
Perry, UT 84302-4459
Mailing address
97 S Main St # 117
Brigham City, UT 84302-2526
Phone (435) 465-5009
Other providers in Perry, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.