Individual provider Active NPI

Bryce Utt, L.AC.

  • Acupuncturist
  • Columbus, IN
National Provider Identifier
1417381385
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
84000145A Issued in IN
Practice address
2520 California St Ste G
Columbus, IN 47201-3677
Phone
(812) 374-4518
Fax
(800) 774-0150
NPI assigned
Aug 28, 2013
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 84000145A IN Primary

Addresses

Primary practice location

2520 California St Ste G
Columbus, IN 47201-3677

Mailing address

2520 California St Ste G
Columbus, IN 47201-3677
Phone (812) 374-4518

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

LicenseStateTypeSpecialty
84000145AINMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Acupuncture LLC Acupuncturist CurrentSince Jun 12, 2022 Accepting new patients

Locations

2520 California St
Ste G
Columbus, IN 47201
Phone (812) 374-4518

Organizations & group practices 1

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1417381385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CALIFORNIA ST STE G",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013677",
            "telephone_number": "812-374-4518",
            "fax_number": "800-774-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CALIFORNIA ST STE G",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013677",
            "telephone_number": "812-374-4518",
            "fax_number": "800-774-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTT",
        "first_name": "BRYCE",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000145A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.