Byrne Chiropractic, Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

BYRNE CHIROPRACTIC, INC.

Practice address

1 Petro PL Ste 2
Girard, OH 44420-3123

Phone

(330) 545-8170

Fax

(330) 545-5917

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Brian Byrne, D.C.NPI 1114920725

Title

Owner

Phone

(330) 545-8170

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Girard Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Gordon B Byrne, D.C.

  • Sports Physician Chiropractor
  • Girard, OH
  • NPI 1114920725

  OH

  Medicare reassignment Authorized official
• Craig D Cleal, D.C.

  • Chiropractor
  • Warren, OH
  • NPI 1659319952
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1578740940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PETRO PL STE 2",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444203123",
            "telephone_number": "330-545-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PETRO PL STE 2",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444203123",
            "telephone_number": "330-545-8170",
            "fax_number": "330-545-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRNE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-545-8170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315673",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000182895",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "04270058300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "042700583001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058393",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO",
            "identifier": "2576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girard Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Girard Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Nicole Brown, CPC
• Patsy Buccino, D.O.
• Rachel Elizabeth Budd
• Building Bridges Behavior Therapy LLC
• Martha Jane Burton-Allen, LPCC, LICDC
• Gordon B Byrne, D.C.
• Jessica Gayle Cain, STNA
• Lindsay Candel, MS, MED, BCBA, COBA
• Sarah C Carbone, LPN
• Care 4 Mobility, LLC

• All providers in Girard, OH
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.