Individual provider Active NPI

Timothy Bryant, D.C

  • Chiropractor
  • Cabot, AR
National Provider Identifier
1417312919
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16118 Issued in AR
Practice address
1014 W Main St
Cabot, AR 72023-2431
Phone
(501) 843-7247
NPI assigned
Dec 28, 2015
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16118 AR Primary

Addresses

Primary practice location

1014 W Main St
Cabot, AR 72023-2431

Mailing address

1014 W Main St
Cabot, AR 72023-2431
Phone (501) 843-7247

Other names 1

  • Dr. Chad Bryant Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331002129 AR Practitioner - Chiropractic 6002113396 Reassigns benefits to 1 organization
Practice locations: Cabot, AR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1014 W Main St
Cabot, AR 72023-2431
Phone (501) 843-7247

1014 W Main St
Suite a
Cabot, AR 72023-2589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16118ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bryant Neck & Back CurrentSince Mar 26, 2025 Accepting new patients
Bryant Chiropractic Chiropractor PastSince Mar 8, 2016 Accepting new patients

Locations

1014 W Main St
Cabot, AR 72023
Phone (501) 843-7247

1014 W Main St
#P
Cabot, AR 72023
Phone (501) 843-7247

1014 W Main St
Ste A
Cabot, AR 72023
Phone (501) 843-7247

Organizations & group practices 2

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1417312919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232431",
            "telephone_number": "501-843-7247",
            "fax_number": "501-843-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232431",
            "telephone_number": "501-843-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "BRYANT",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.