Brian T Lyman D C Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

295371-1202 Issued in UT

Legal business name

BRIAN T LYMAN D C INC

Practice address

585 W 100 N
Suite E
Providence, UT 84332-9876

Phone

(435) 750-6909

NPI assigned

Jan 8, 2008

Last updated

Dec 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julia Ann Lyman

Title

Office Manager

Phone

(435) 750-6909

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Thomas Lyman, D.C.

  • Chiropractor
  • Providence, UT
  • NPI 1073694816
  Medicare reassignment NPD

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1467637587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 W 100 N",
            "address_2": "SUITE E",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329876",
            "telephone_number": "435-750-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W 100 N",
            "address_2": "SUITE E",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329876",
            "telephone_number": "435-750-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN T LYMAN D C INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "LYMAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-750-6909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "295371-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870395551LY1",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86070061777001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "39158",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "10034",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Lee Bordelon, MSW, CSW
• Allen Joshua Boyd, RBT
• Ben P Boyer, FNP
• Cheyanne J Bradshaw, RBT
• Cliffton K Brady, DC
• Steven Ross Bringhurst
• Jeremy Broadhurst, DO
• Ella Myra Brown
• Jordyn Lindsey Brown, PA-C
• Emily Paige Bryner, RBT

• Chiropractor in Providence, UT
• Providers in Providence, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.