Individual provider Active NPI

Bryan McFarlane, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1639815558
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9131 Issued in AZ
Practice address
11030 N Tatum Blvd Ste 102
Phoenix, AZ 85028-6073
Phone
(602) 494-3037
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9131 AZ Primary

Addresses

Primary practice location

11030 N Tatum Blvd Ste 102
Phoenix, AZ 85028-6073

Mailing address

11030 N Tatum Blvd Ste 102
Phoenix, AZ 85028-6073
Phone (602) 494-3037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230111001855 AZ Practitioner - Chiropractic 9931579737 Reassigns benefits to 1 organization
I20240212000228 TN Practitioner - Chiropractic 9931579737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier ChiropracticGroup PAC ID 7315268786, 6 clinicians

Practice addresses (Care Compare)

1412 Trotwood Ave
Suite 88
Columbia, TN 38401-4983
Phone (931) 548-1580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9131AZMDChiropractor
3782TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Chiropractic Chiropractor CurrentSince Feb 20, 2024 Accepting new patients
Premier Medical Integration LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

11030 N Tatum Blvd
Ste 102
Phoenix, AZ 85028
Phone (602) 494-3037

1412 Trotwood Ave
Ste 88
Columbia, TN 38401
Phone (931) 548-1580

2040 Reserve Blvd
Ste A
Spring Hill, TN 37174
Phone (615) 653-4541

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1639815558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-494-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 N TATUM BLVD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286073",
            "telephone_number": "602-494-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFARLANE",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.