Mark E. Bryngelson, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001099 Issued in VA

Legal business name

MARK E. BRYNGELSON, P.C.

Doing business as

Life Chiropractic Clinic of Stafford

Practice address

147 Garrisonville Rd
Stafford, VA 22554-1523

Phone

(540) 720-6000

Fax

(540) 288-1913

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Mark E. Bryngelson, D.C.NPI 1184653032

Title

Chiropractor

Phone

(540) 720-6000

Specialties & licenses 1

Addresses

Other names 1

• Life Chiropractic Clinic of Stafford Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E. Bryngelson, D.C.

  • Chiropractor
  • Stafford, VA
  • NPI 1184653032
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1508133323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541523",
            "telephone_number": "540-720-6000",
            "fax_number": "540-288-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541523",
            "telephone_number": "540-720-6000",
            "fax_number": "540-288-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. BRYNGELSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "BRYNGELSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "540-720-6000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Chiropractic Clinic of Stafford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Maniscalco, FNP
• Manners Health Services Corporation (Manners Health Transprotation Services)
• Annette Anthonia Manzano, LPC
• Irma Marcotte
• Elizbeth Marfo
• Rachel Marquez, MD
• Madison Yvonne Marsden
• Wyndy Leigh Marthinussen, LCSW
• Kristen Martin
• Sydney Martin

• Chiropractor in Stafford, VA
• Providers in Stafford, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.