Active NPI
Ryan Wayne Pribble
- Chiropractor
- Bloomington, IN
National Provider Identifier
1306138482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002578A
- Practice address
- 320 W 8TH St Ste 121
Bloomington, IN 47404-3745 - Phone
- (812) 323-7432
- Fax
- (812) 323-7437
- NPI assigned
- May 9, 2011
- 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 | 08002578A | IN | Primary |
Addresses
Primary practice location
320 W 8TH St Ste 121
Bloomington, IN 47404-3745
Mailing address
PO Box 8456
Bloomington, IN 47407-8456
Phone (812) 323-7432
Other names 1
- Dr. Ryan Wayne Pribble
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
417 S Clarizz Blvd
Bloomington, IN 47401-5517
Phone (812) 323-7432
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington Sports and Wellness | Chiropractor | Current | Accepting new patients |
Locations
417 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 323-7432
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
- Bloomington, IN
- NPI 1699905828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1306138482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8456",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474078456",
"telephone_number": "812-323-7432",
"fax_number": "812-323-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W 8TH ST STE 121",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043745",
"telephone_number": "812-323-7432",
"fax_number": "812-323-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIBBLE",
"first_name": "RYAN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002578A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RYAN",
"last_name": "PRIBBLE",
"middle_name": "WAYNE",
"prefix": "DR.",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.