Active NPI
Brian E Coyle, D.C., F.A.S.B.E.
- Chiropractor
- San Jose, CA
National Provider Identifier
1417029612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC151690
- Practice address
- 1711 Branham LN Ste A10
San Jose, CA 95118-5227 - Phone
- (408) 264-6644
- Fax
- (408) 264-3515
- NPI assigned
- Nov 14, 2006
- 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 | DC151690 | CA | Primary |
Addresses
Primary practice location
1711 Branham LN Ste A10
San Jose, CA 95118-5227
Mailing address
591 W. Hamilton Ave. #160
Cambpell, CA 95008-0521
Phone (408) 264-6644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6110 Hellyer Ave
Suite 100
San Jose, CA 95138-1061
Phone (370) 288-6453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC151690 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced DME LLC | Current | Accepting new patients | |
| Advanced Medical Center Inc | Chiropractor | Past | Accepting new patients |
Locations
3315 Almaden Expy
Ste 20
San Jose, CA 95118
Phone (408) 264-6644
6110 Hellyer Ave
Ste 100
San Jose, CA 95138
Phone (408) 264-6644
Organizations & group practices 3
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
- San Jose, CA
- NPI 1811916000
-
- Durable Medical Equipment & Medical Supplies
- San Jose, CA
- NPI 1962083733
-
- Chiropractor
- San Jose, CA
- NPI 1245228154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1417029612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 W. HAMILTON AVE. #160",
"city": "CAMBPELL",
"state": "CA",
"postal_code": "950080521",
"telephone_number": "408-264-6644",
"fax_number": "408-264-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 BRANHAM LN STE A10",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951185227",
"telephone_number": "408-264-6644",
"fax_number": "408-264-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYLE",
"first_name": "BRIAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C., F.A.S.B.E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC151690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.