Individual provider Active NPI

Bryan C McCormick, D.C,

  • Rehabilitation Chiropractor
  • Cedar Hill, TX
National Provider Identifier
1649237801
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
9421 Issued in TX
Practice address
950 E Belt Line Rd Ste 180
Cedar Hill, TX 75104-2424
Phone
(469) 272-7000
Fax
(469) 272-3069
NPI assigned
Apr 28, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 9421 TX
Rehabilitation Chiropractor 111NR0400X 9421 TX Primary

Addresses

Primary practice location

950 E Belt Line Rd Ste 180
Cedar Hill, TX 75104-2424

Mailing address

950 E Belt Line Rd Ste 180
Cedar Hill, TX 75104-2424
Phone (469) 272-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000554 TX Practitioner - Chiropractic 6507809605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comfort Rehab PAGroup PAC ID 1254567803, 2 clinicians

Practice addresses (Care Compare)

950 E Belt Line Rd
Suite 180
Cedar Hill, TX 75104-2424
Phone (469) 272-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9421TXMDMental Health Counselor

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1649237801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD STE 180",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042424",
            "telephone_number": "469-272-7000",
            "fax_number": "469-272-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BELT LINE RD STE 180",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042424",
            "telephone_number": "469-272-7000",
            "fax_number": "469-272-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "BRYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "9421",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "9421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.