Active NPI
Brian C Willyard, DC
- Chiropractor
- Port Orchard, WA
National Provider Identifier
1841255791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00003380
- Practice address
- 1501 Pottery Ave
Port Orchard, WA 98366-3712 - Phone
- (360) 876-6865
- Fax
- (360) 876-5507
- NPI assigned
- Apr 20, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00003380 | WA | Primary |
Addresses
Primary practice location
1501 Pottery Ave
Port Orchard, WA 98366-3712
Mailing address
1501 Pottery Ave
Port Orchard, WA 98366-3712
Phone (360) 876-6865
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114155 | Other | WA | DEPT OF LABOR AND INDUSTR |
| 353834000 | Other | FEDERAL WORKERS COMPENSAT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050411000838 | WA | Practitioner - Chiropractic | 6204873326 | Practice locations: Port Orchard, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1501 Pottery Ave
Port Orchard, WA 98366-3712
Phone (360) 876-6865
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00003380 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Chiropratic | Chiropractor | Past | Accepting new patients |
| Spinal Health Care Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Port Orchard, WA
- NPI 1003005653
-
- Chiropractor
- Port Orchard, WA
- NPI 1457549016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841255791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663712",
"telephone_number": "360-876-6865",
"fax_number": "360-876-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663712",
"telephone_number": "360-876-6865",
"fax_number": "360-876-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLYARD",
"first_name": "BRIAN",
"middle_name": "C",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR AND INDUSTR",
"identifier": "114155",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKERS COMPENSAT",
"identifier": "353834000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.