Organization Active NPI

Virgil Bryant Management

  • Chiropractor
  • New Iberia, LA
National Provider Identifier
1609186626
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
155 Issued in LA
Legal business name
VIRGIL BRYANT MANAGEMENT
Practice address
800 W Main St
New Iberia, LA 70560-3536
Phone
(337) 367-2567
Fax
(337) 367-2578
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Dr. Virgil Jackson Bryant, D.C.
Title
Opwner/Dr.
Phone
(337) 367-2567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 155 LA Primary

Addresses

Primary practice location

800 W Main St
New Iberia, LA 70560-3536

Mailing address

800 W Main St
New Iberia, LA 70560-3536
Phone (337) 367-2567

Other identifiers 1

IdentifierTypeStateIssuer
1548237001OtherLABLUE CROSS BLUE SHILED OF LA

Other names 1

  • BRYANT CLINICS Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000452 LA Part B Supplier - Clinic/Group Practice 2860675444 Receives reassigned benefits from 4 practitioners
Practice locations: New Iberia, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1609186626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603536",
            "telephone_number": "337-367-2567",
            "fax_number": "337-367-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603536",
            "telephone_number": "337-367-2567",
            "fax_number": "337-367-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIL BRYANT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OPWNER/DR.",
        "authorized_official_telephone_number": "337-367-2567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED OF LA",
            "identifier": "1548237001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRYANT CLINICS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.