Individual provider Active NPI

Bryson John Langel, D.C.

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1497774897
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034157 Issued in WA
Practice address
2703 Capitol Mall Dr SW
Suite 103
Olympia, WA 98502-5097
Phone
(360) 352-9912
Fax
(360) 352-9913
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034157 WA Primary

Addresses

Primary practice location

2703 Capitol Mall Dr SW
Suite 103
Olympia, WA 98502-5097

Mailing address

PO Box 13035
Olympia, WA 98508-3035
Phone (360) 352-9912

Other identifiers 3

IdentifierTypeStateIssuer
4832LAOtherWAREGENCE
1629267471OtherWAGROUP NPI
0163040OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000534 WA Practitioner - Chiropractic 9830147875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

344 Cleveland Ave SE
Suite a
Tumwater, WA 98501-3342
Phone (360) 352-9912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Langel Chiropractic, P.S. Chiropractor CurrentSince Jan 6, 2005 Accepting new patients
Jeanne Elliott NP PS Past Accepting new patients
Vanquaethem Chiropractic Clinic Chiropractor Past Accepting new patients
Harbor Chiropractic Center Inc. P.S. Chiropractor PastSince Feb 11, 2020 Accepting new patients

Locations

2703 Capital Mall Dr SW
Ste 103
Olympia, WA 98502
Phone (360) 352-9912

1645 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 943-6206

344 Cleveland Ave SE
Ste A
Tumwater, WA 98501
Phone (360) 352-9912

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1497774897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13035",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985083035",
            "telephone_number": "360-352-9912",
            "fax_number": "360-352-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 CAPITOL MALL DR SW",
            "address_2": "SUITE 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025097",
            "telephone_number": "360-352-9912",
            "fax_number": "360-352-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEL",
        "first_name": "BRYSON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "4832LA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1629267471",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0163040",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.