Active NPI
Bryan Walters, D.C.
- Chiropractor
- Indianapolis, IN
National Provider Identifier
1619389970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002777A
- Practice address
- 3786 S East St
Indianapolis, IN 46227-1241 - Phone
- (317) 791-1511
- NPI assigned
- May 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002777A | IN | Primary |
Addresses
Primary practice location
3786 S East St
Indianapolis, IN 46227-1241
Mailing address
3786 S East St
Indianapolis, IN 46227-1241
Phone (317) 791-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002777A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1619389970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3786 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271241",
"telephone_number": "317-791-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3786 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271241",
"telephone_number": "317-791-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "BRYAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-21",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002777A",
"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 May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.