Nicole Marie Bryan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557475 Issued in VA

Practice address

2000 Kraft Dr Ste 1700
Blacksburg, VA 24060-6839

Phone

(540) 225-2321

Fax

(540) 782-3314

NPI assigned

Feb 1, 2018

Last updated

May 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicole Marie Dougherty Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Foundation Family Chiropractic, LLC

  • Chiropractor
  • Summerville, SC
  • NPI 1306356845
  Medicare reassignment NPD
• Adjust NRV, PLLC

  • Chiropractor
  • Blacksburg, VA
  • NPI 1114673845
  NPD
• Tuck Chiropractic Corporation

  dba Tuck WorkWell

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1578155610
  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1508365875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BROAD CREEK CHURCH RD",
            "city": "NATURAL BRIDGE",
            "state": "VA",
            "postal_code": "245783603",
            "telephone_number": "386-852-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KRAFT DR STE 1700",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606839",
            "telephone_number": "540-225-2321",
            "fax_number": "540-782-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 N Main St",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240603385",
            "country_code": "US",
            "telephone_number": "540-951-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DOUGHERTY",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Brower
• Aleksandra G Brown, D.O.
• Kenneth Xavier Brown, MD
• Whitney Brown
• Anne Lorene Bryan, M.S., ATC, LAT, CES
• Kelsie Rutledge Bryant, LPC
• John Gregory Bryson, CMT, LAC
• Theresa Ann Buchanan, FNP
• Aja Buhler, FNP
• Lisa C Buonomano, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; 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.