Active NPI
Bryan Eric Leader, D.C.
- Chiropractor
- Auburn, NY
National Provider Identifier
1669772034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X001207-1
- Practice address
- 2115 W Genesee Street Rd
Auburn, NY 13021-9435 - Phone
- (315) 252-5789
- NPI assigned
- Nov 1, 2010
- 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 | X001207-1 | NY | Primary |
Addresses
Primary practice location
2115 W Genesee Street Rd
Auburn, NY 13021-9435
Mailing address
40 Elm St
Auburn, NY 13021-2119
Phone (315) 730-8948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X001207-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Bryan E Leader Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Finger Lakes Chiropractic & Massage Therapy, PLLC | Chiropractor | Past | Accepting new patients |
| Leader Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
2115 W Genesee Street Rd
Auburn, NY 13021
Phone (315) 252-5789
2115 W Genesee Street Rd
Ste 1
Auburn, NY 13021
Organizations & group practices 3
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.
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- Chiropractor
- Auburn, NY
- NPI 1417116625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1669772034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ELM ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212119",
"telephone_number": "315-730-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 W GENESEE STREET RD",
"city": "AUBURN",
"state": "NY",
"postal_code": "130219435",
"telephone_number": "315-252-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEADER",
"first_name": "BRYAN",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X001207-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.