Bryan Edward Hufstader, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1129 Issued in ID

Practice address

105 W E St
Elmwood, NE 68349-6113

Phone

(402) 994-2030

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lifetime Wellness Clinic of Chiropractic PC

  • Chiropractor
  • Elmwood, NE
  • NPI 1376897397
  Medicare reassignment NPD Authorized official
• Campbell Chiropractic and Physical Medicine Center, LLC

  • Chiropractor
  • Elmwood, NE
  • NPI 1356458285
  NPD (past)
• John Hickey PC

  • Chiropractor
  • Boise, ID
  • NPI 1114536794
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1407916539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W E ST",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683496113",
            "telephone_number": "402-994-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W E ST",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683496113",
            "telephone_number": "402-994-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFSTADER",
        "first_name": "BRYAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmwood Hometown Healthcare LLC
• Elmwood Rural Fire District
• Elmwood-Murdock Public Schools
• Tracey Lynn Hamor
• Bobbi M Hohman
• Sally Kate Hufstader, DC
• Lifetime Wellness Clinic of Chiropractic PC
• Tami Jo Mayberry, ARNP
• Elissa Rae McGill, LIMHP
• Carrie Nunez

• Chiropractor in Elmwood, NE
• Providers in Elmwood, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.