Bryer Chiropractic TR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001451 Issued in NY

Legal business name

BRYER CHIROPRACTIC TR

Practice address

Co 197 North Main Street
Salem, NY 12865-0007

Phone

(518) 854-7447

Fax

(518) 854-7448

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Adelfred E Bryer, DC

Title

Ttee

Phone

(518) 854-7447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1710052055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CO197 NORTH MAIN STREET",
            "address_2": "PO BOX 7",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128650007",
            "telephone_number": "518-854-7447",
            "fax_number": "518-854-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CO 197 NORTH MAIN STREET",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128650007",
            "telephone_number": "518-854-7447",
            "fax_number": "518-854-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYER CHIROPRACTIC TR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "BRYER",
        "authorized_official_first_name": "ADELFRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TTEE",
        "authorized_official_telephone_number": "518-854-7447",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "001451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.