Active NPI
Brad Alan Byington, D.C.
- Chiropractor
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 20534
- Practice address
- 12640 Hesperia Rd
Victorville, CA 92395-7753 - Phone
- (760) 684-4143
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 20534 | CA | Primary |
Addresses
Primary practice location
12640 Hesperia Rd
Victorville, CA 92395-7753
Mailing address
16400 Burwood St
Victorville, CA 92395-9717
Phone (760) 217-3836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050603000682 | CA | Practitioner - Chiropractic | 4284677915 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16400 Burwood St
Victorville, CA 92395-9717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 20534 | CA | MD | Chiropractor |
| 20534 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients | |
| Moeller-Bertram Medical Corporation | Current | Accepting new patients |
Locations
17450 Main St
Ste Def
Hesperia, CA 92345
Phone (760) 493-2929
3857 Birch St
Newport Beach, CA 92660
Phone (949) 783-3600
44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290
36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315
36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315
12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999
12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143
12830 Hesperia Rd
Ste C
Victorville, CA 92395
Phone (760) 684-8999
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- brad.bynington.p1@direct.chsica.nextgenshare.com
Organizations & group practices 3
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.
-
- Pain Medicine Physician
- Rancho Mirage, CA
- NPI 1699586388
-
- Durable Medical Equipment & Medical Supplies
- Indio, CA
- NPI 1861389199
-
- Pain Medicine (Anesthesiology) Physician
- Rancho Mirage, CA
- NPI 1922440684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1497808786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16400 BURWOOD ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923959717",
"telephone_number": "760-217-3836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12640 HESPERIA RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957753",
"telephone_number": "760-684-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYINGTON",
"first_name": "BRAD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 20534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.