Bryan Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08000772A Issued in IN

Legal business name

BRYAN CHIROPRACTIC CENTER

Practice address

236 W Edison Rd Ste 3
Mishawaka, IN 46545-3184

Phone

(574) 259-3355

Fax

(574) 259-2032

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Chris William Bryan, DCNPI 1548267792

Title

Owner

Phone

(574) 259-3355

Specialties & licenses 1

Addresses

Tax ID family

Bryan Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michiana Chiropractic Center

  • Chiropractor
  • Mishawaka, IN
  • NPI 1013277896
  NPD tax ID

Locations

Practitioners 1

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

• Chris William Bryan, D.C.

  • Chiropractor
  • Mishawaka, IN
  • NPI 1548267792
  NPD (past) Authorized official

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1528328697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8166",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466608166",
            "telephone_number": "574-259-3355",
            "fax_number": "574-259-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W EDISON RD STE 3",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453184",
            "telephone_number": "574-259-3355",
            "fax_number": "574-259-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-259-3355",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000772A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Brown, FNP
• Shannan Elizabeth Brown, OD
• Derick X Browne, CMT
• Megan Nicole Brunner, NP
• Mya Lemae Brusdahl
• Chris William Bryan, D.C.
• Lauren Bryan
• Shelby Ann Bryant
• David Buck, LMSW
• Nicholas Buczynski

• Chiropractor in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.