Jonathan Bryson, DC
Individual provider Active NPI Chiropractor · Ocoee, TN
NPI 1487220893 · NPPES record last updated May 27, 2021
Key facts
- NPI
- 1487220893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3424 (TN)
- Practice address
- 409 US-64
Ocoee, TN 37361 - Phone
- (256) 577-0911
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010460 | GA | MD | Chiropractor |
| 3424 | TN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3424 | TN | Yes |
| Chiropractor | 111N00000X | CHIR010460 | GA |
Addresses
Primary practice location
409 US-64
Ocoee, TN 37361
Mailing address
611 Intermont Rd
Chattanooga, TN 37415-4824
Phone (256) 577-0911
Other providers in Ocoee, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.