Active NPI
Bryan Acosta, DC
- Chiropractor
- Lawrenceville, GA
National Provider Identifier
1306499785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010121
- Practice address
- 471 Scenic Hwy South
Lawrenceville, GA 30046 - Phone
- (404) 625-7540
- NPI assigned
- Jul 24, 2019
- Last updated
- Aug 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | CHIR010121 | GA | Primary |
Addresses
Primary practice location
471 Scenic Hwy South
Lawrenceville, GA 30046
Mailing address
471 Scenic Hwy South
Lawrenceville, GA 30046
Phone (404) 625-7540
Other practice location 1
969 Spring View Pl
Sugar Hill, GA 30518
Phone (404) 625-7540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010121 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1306499785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 SCENIC HWY SOUTH",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30046",
"telephone_number": "404-625-7540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 SCENIC HWY SOUTH",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30046",
"telephone_number": "404-625-7540"
}
],
"practiceLocations": [
{
"address_1": "969 Spring View Pl",
"address_purpose": "LOCATION",
"city": "Sugar Hill",
"state": "GA",
"postal_code": "30518",
"country_code": "US",
"telephone_number": "404-625-7540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACOSTA",
"first_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-24",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.