Active NPI
James Tracy Bryant, D.C.
- Chiropractor
- San Antonio, TX
National Provider Identifier
1700930971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5416
- Practice address
- 24165 W Ih 10 Ste 106
San Antonio, TX 78257-1162 - Phone
- (210) 698-1700
- Fax
- (210) 698-3400
- NPI assigned
- Jan 23, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5416 | TX | Primary |
| Chiropractor | 111N00000X | 814 | LA | |
| Chiropractor | 111N00000X | 1146 | AR |
Addresses
Primary practice location
24165 W Ih 10 Ste 106
San Antonio, TX 78257-1162
Mailing address
4519 Shavano Peak
San Antonio, TX 78230-5838
Phone (210) 823-9200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4267881 | Other | TX | AETNA |
| 611312 | Other | TX | UNITED HEALTHCARE |
| 606087 | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 1146 | AR | MD | Chiropractor |
| 5416 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moya Chiropractic, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- San Antonio, TX
- NPI 1891232732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1700930971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 SHAVANO PEAK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305838",
"telephone_number": "210-823-9200",
"fax_number": "210-823-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24165 W IH 10 STE 106",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782571162",
"telephone_number": "210-698-1700",
"fax_number": "210-698-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "JAMES",
"middle_name": "TRACY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5416",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "814",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1146",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4267881",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "611312",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "606087",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.