Individual provider Active NPI

Bryan Raymond Vanbecelaere, D.C.

  • Chiropractor
  • Greenville, SC
National Provider Identifier
1649463308
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1570 Issued in SC
Practice address
2718 Wade Hampton Blvd Ste a
Greenville, SC 29615-1165
Phone
(864) 325-0407
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1570 SC Primary

Addresses

Primary practice location

2718 Wade Hampton Blvd Ste a
Greenville, SC 29615-1165

Mailing address

PO Box 6094
Greenville, SC 29606-6094
Phone (864) 325-0407

Other names 1

  • Dr. Bryan Raymond Vanbecelaere Professional name

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

LicenseStateTypeSpecialty
1570SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1649463308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6094",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296066094",
            "telephone_number": "864-325-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 WADE HAMPTON BLVD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151165",
            "telephone_number": "864-325-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBECELAERE",
        "first_name": "BRYAN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "VANBECELAERE",
            "middle_name": "RAYMOND",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.