Bryan Wellness Group, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRYAN WELLNESS GROUP, LLC

Practice address

990 Washington St Ste 108
Dedham, MA 02026-6715

Phone

(978) 357-7397

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Wendy Bryan

Title

Manager

Phone

(978) 766-9879

Specialties & licenses 1

Addresses

Other names 1

• Coach Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Bryan, DC

  • Chiropractor
  • Dedham, MA
  • NPI 1306402953
  Medicare reassignment NPD
• Matthew J Bryan, DC

  • Chiropractor
  • Dedham, MA
  • NPI 1841938982
  NPD

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1720725823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CRANBERRY LN",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266219",
            "telephone_number": "978-766-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WASHINGTON ST STE 108",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266715",
            "telephone_number": "978-357-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-766-9879"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coach Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Brinkert
• Wendy S Bronstein
• Elyse Brouillard
• Lindsay Shaw Brunel, ANP-BC
• Stacey Brunet
• Matthew J Bryan, DC
• Sean Bryan, DC
• Katrina R Bubb-Kelly, PT
• Dana Buckley
• Hayley Elisabeth Bukow, PA-C

• Chiropractor in Dedham, MA
• Providers in Dedham, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.

Verify at the official NPI Registry.