Bryn Mawr Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2029 Issued in MN

Legal business name

BRYN MAWR CHIROPRACTIC, PA

Practice address

402 Penn Ave S
Minneapolis, MN 55405-2059

Phone

(612) 377-3248

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Carr, D.C.

Title

President

Phone

(612) 377-3248

Specialties & licenses 1

Addresses

Other names 1

• Carr Chiropractic, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1841523347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PENN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052059",
            "telephone_number": "612-377-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PENN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052059",
            "telephone_number": "612-377-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-377-3248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carr Chiropractic, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gary L Bryant, MD
• Heather Bryant, CMT
• Jacquelyn E Bryant, APRN-BC
• Jennifer Lauren Bryant
• Michelle Lynn Bryant, LICSW
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• Fang Bu, M.D.
• Kathleen Hatke Bubolz, MA, CCC-SLP
• Florian Bubser
• Bucca Dental LLC

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.