Individual provider Active NPI

Bryant Lane Ponchot, D.C.

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1508967340
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002296A Issued in IN
Practice address
8258 Rockville Rd
Indianapolis, IN 46214-3113
Phone
(317) 429-5400
Fax
(317) 429-5401
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002296A IN Primary

Addresses

Primary practice location

8258 Rockville Rd
Indianapolis, IN 46214-3113

Mailing address

4625 S Emerson Ave
Indianapolis, IN 46203-5972
Phone (317) 522-2303

Other practice location 1

19800 East St Ste 120
Westfield, IN 46074-3833
Phone (463) 622-9868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000555 IN Practitioner - Chiropractic 7618071333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Apex Therapy Clinic PCGroup PAC ID 2567480841, 4 clinicians

Practice addresses (Care Compare)

6905 E 96TH St
Suite 900
Indianapolis, IN 46250-4455
Phone (317) 577-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002296AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health Medical Center CurrentSince Sep 11, 2022 Accepting new patients
Apex Therapy Clinic, PC CurrentSince Jan 25, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 9, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 9, 2025 Accepting new patients
Lafayette Chiropractic LLC Chiropractor PastSince Oct 16, 2022 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1995 E Main St
Danville, IN 46122
Phone (317) 445-5100

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6905 E 96th St
Ste 900
Indianapolis, IN 46250
Phone (317) 577-1990

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

19800 East St
#120
Westfield, IN 46074
Phone (317) 621-7120

Organizations & group practices 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1508967340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035972",
            "telephone_number": "317-522-2303",
            "fax_number": "317-522-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143113",
            "telephone_number": "317-429-5400",
            "fax_number": "317-429-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19800 East St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460743833",
            "country_code": "US",
            "telephone_number": "463-622-9868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCHOT",
        "first_name": "BRYANT",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002296A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.