Active NPI
Brian Travis Geller, DC
- Chiropractor
- Williamsville, NY
National Provider Identifier
1629598743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012969
- Practice address
- 40 George Karl Blvd
Williamsville, NY 14221-7183 - Phone
- (716) 218-1000
- NPI assigned
- Jun 20, 2017
- Last updated
- Oct 31, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 012969 | NY | Primary |
Addresses
Primary practice location
40 George Karl Blvd
Williamsville, NY 14221-7183
Mailing address
164 Stillwell Ave Uppr
Kenmore, NY 14217-2134
Phone (917) 916-3684
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012969 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1629598743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 STILLWELL AVE UPPR",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172134",
"telephone_number": "917-916-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 GEORGE KARL BLVD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217183",
"telephone_number": "716-218-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "BRIAN",
"middle_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.