NPIMap

Organization Active NPI

Bryant Chiropractic Clinic, LLC

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1306151493
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1180 Issued in AL
Legal business name
BRYANT CHIROPRACTIC CLINIC, LLC
Practice address
1600 Sparkman Dr NW
Huntsville, AL 35816-1114
Phone
(256) 837-8111
Fax
(256) 837-6200
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Martin G Bryant, D.C.NPI 1821070426
Title
Owner/Treating Physician
Phone
(256) 837-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1180 AL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2308 AL

Addresses

Primary practice location

1600 Sparkman Dr NW
Huntsville, AL 35816-1114

Mailing address

1600 Sparkman Dr NW
Huntsville, AL 35816-1114
Phone (256) 837-8111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101022000877 AL Part B Supplier - Clinic/Group Practice 3375736390 Receives reassigned benefits from 3 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

1600 Sparkman Dr NW
Huntsville, AL 35816
Phone (256) 837-8111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1306151493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SPARKMAN DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161114",
            "telephone_number": "256-837-8111",
            "fax_number": "256-837-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SPARKMAN DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358161114",
            "telephone_number": "256-837-8111",
            "fax_number": "256-837-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/TREATING PHYSICIAN",
        "authorized_official_telephone_number": "256-837-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1180",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.