Individual provider Active NPI

Bryce Michael Kreicher, DC

  • Chiropractor
  • Sandusky, OH
National Provider Identifier
1407481906
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC04952 Issued in OH
Practice address
1112 E Perkins Ave
Sandusky, OH 44870-5071
Phone
(419) 626-9595
Fax
(440) 626-9977
NPI assigned
Mar 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC04952 OH Primary

Addresses

Primary practice location

1112 E Perkins Ave
Sandusky, OH 44870-5071

Mailing address

1112 E Perkins Ave
Sandusky, OH 44870-5071
Phone (419) 626-9595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200821001876 OH Practitioner - Chiropractic 0840616777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Solution Center of Vermilion, IncGroup PAC ID 5395895650, 3 clinicians

Practice addresses (Care Compare)

1112 E Perkins Ave
Sandusky, OH 44870-5071
Phone (419) 626-9595

4733 Liberty Ave
Vermilion, OH 44089-3206
Phone (440) 967-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC04952OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solution Centers of Lorain Inc. Chiropractor CurrentSince Aug 10, 2020 Accepting new patients
Health Solution Center of Vermilion, Inc Chiropractor CurrentSince Aug 10, 2020 Accepting new patients
Health Solution Centers of Sandusky Inc Chiropractor CurrentSince Aug 10, 2020 Accepting new patients
Health Solution Centers Inc Past Accepting new patients

Locations

1980 Cooper Foster Park Rd W
Ste A
Lorain, OH 44053
Phone (440) 282-7246

1112 E Perkins Ave
Sandusky, OH 44870
Phone (419) 626-1112

4733 Liberty Ave
Vermilion, OH 44089
Phone (440) 967-4226

4733 Liberty Ave
Ste 100
Vermilion, OH 44089

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1407481906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705071",
            "telephone_number": "419-626-9595",
            "fax_number": "440-626-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705071",
            "telephone_number": "419-626-9595",
            "fax_number": "440-626-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREICHER",
        "first_name": "BRYCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC04952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.

Verify at the official NPI Registry.