Organization Active NPI

Bryant Neck & Back

  • Clinic/Center
  • Cabot, AR
National Provider Identifier
1497555411
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRYANT NECK & BACK
Practice address
1014 W Main St
Cabot, AR 72023-2431
Phone
(501) 843-7247
Fax
(501) 843-7360
NPI assigned
Mar 18, 2025
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Timothy Bryant, DCNPI 1417312919
Title
Owner
Phone
(501) 843-7247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602001554 AR Part B Supplier - Clinic/Group Practice 4880103878 Receives reassigned benefits from 1 practitioner
Practice locations: Cabot, AR

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1497555411",
    "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",
            "fax_number": "501-843-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT NECK & BACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-843-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 18, 2025; 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.