Bryce Douglas Anderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4350 Issued in MN

Practice address

500 S Broad St Ste 102
Mankato, MN 56001-2692

Phone

(507) 388-5315

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Anderson Family Chiropractic, LLC

  • Chiropractor
  • Mankato, MN
  • NPI 1093961401
  Medicare reassignment NPD Authorized official
• Healthways Chiropractic and Integrated Wellness Center

  • Chiropractor
  • Mankato, MN
  • NPI 1952583171
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1528096351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S BROAD ST STE 102",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012692",
            "telephone_number": "507-388-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S BROAD ST STE 102",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012692",
            "telephone_number": "507-388-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRYCE",
        "middle_name": "DOUGLAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred William Anderson, DDS
• Alyssa Anderson, APRN, CNP
• Amy M Anderson
• Anita K. Anderson
• Bridget Mae Anderson
• Coriann E Anderson
• Courtney Allison Anderson, D.D.S
• Craig H Anderson, MD
• Emma Morgan Anderson
• John Mark Anderson, D.D.S

• All providers in Mankato, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.