Active NPI
Bryan Harris Kalodish, DC
- Rehabilitation Chiropractor
- Naples, FL
National Provider Identifier
1497808471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH0007076
- Practice address
- 970 5TH Ave N
Naples, FL 34102-5817 - Phone
- (239) 692-8160
- Fax
- (239) 331-4148
- NPI assigned
- Jan 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH0007076 | FL | Primary |
Addresses
Primary practice location
970 5TH Ave N
Naples, FL 34102-5817
Mailing address
970 5TH Ave N
970 5TH Ave North
Naples, FL 34102, FL 34102
Phone (239) 692-8160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110614000630 | FL | Practitioner - Chiropractic | 9032396312 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0007076 | FL | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1497808471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 5TH AVE N",
"address_2": "970 5TH AVE NORTH",
"city": "NAPLES, FL 34102",
"state": "FL",
"postal_code": "34102",
"telephone_number": "239-692-8160",
"fax_number": "239-331-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 5TH AVE N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025817",
"telephone_number": "239-692-8160",
"fax_number": "239-331-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALODISH",
"first_name": "BRYAN",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH0007076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.