Bryan W. Bell, ,CHIROPRACTOR, P.A.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH0003959 Issued in FL

Practice address

2820 US Highway 1 S
Suite B
St Augustine, FL 32086-6352

Phone

(904) 797-3232

Fax

(904) 797-3234

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coquina Sport & Spine, LLC

  • Chiropractor
  • St Augustine, FL
  • NPI 1720659154
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1760522700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 US HIGHWAY 1 S",
            "address_2": "SUITE B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866352",
            "telephone_number": "904-797-3232",
            "fax_number": "904-797-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 US HIGHWAY 1 S",
            "address_2": "SUITE B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866352",
            "telephone_number": "904-797-3232",
            "fax_number": "904-797-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "BRYAN",
        "middle_name": "W.",
        "credential": ",CHIROPRACTOR, P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH0003959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Joseph Becker
• Maci Bedard, MSW, RCSWI
• Behavior Analysis Support Services, Inc
• Kristin Mary Beil, LMHC
• Jacqueline Megan Bejtullahu, MD
• Hannah Bell, ARNP
• Hope A. Bell, PTA
• Jennifer Bell
• Rebekah Bell, M.S.
• Nancy K Bellard, L.AC., A,P.

• Sports Physician Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.