Roy Stephen Bryant, III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1354 Issued in ME

Practice address

155 Saco Ave Ste A2
Old Orchard Beach, ME 04064-1600

Phone

(207) 934-4600

Fax

(207) 934-4606

NPI assigned

Aug 30, 2006

Last updated

Jan 22, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Old Orchard Beach Chiropractic, Inc.

  • Chiropractor
  • Old Orchard Beach, ME
  • NPI 1376765750
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1447369434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SACO AVE STE A2",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641600",
            "telephone_number": "207-934-4600",
            "fax_number": "207-934-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SACO AVE STE A2",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641600",
            "telephone_number": "207-934-4600",
            "fax_number": "207-934-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT, III",
        "first_name": "ROY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "023110",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Christian Anderson, M.S.O.T.R.L.
• Jennifer Jill Bayette, PHARMD
• David Blake
• Ryan M Blanks, PHARM D
• Jillian Marie Bonnette, CADC
• Charles Cardoza, CADC
• Jack Chellis, CADC
• Hal Cohen, D.O.
• Rebecca L Cowie, M.S., CCC-SLP
• Karen Patrice Dauphinais, CADC

• Chiropractor in Old Orchard Beach, ME
• Providers in Old Orchard Beach, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.