Individual provider Active NPI

Thomas Foster Bryant, DC

  • Chiropractor
  • Naples, FL
National Provider Identifier
1861536336
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8490 Issued in FL
Practice address
6645 Willow Park Dr
Suite 150
Naples, FL 34109-8989
Phone
(239) 513-9004
Fax
(239) 597-0333
NPI assigned
Feb 17, 2007
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8490 FL Primary

Addresses

Primary practice location

6645 Willow Park Dr
Suite 150
Naples, FL 34109-8989

Mailing address

6645 Willow Park Dr
Suite 150
Naples, FL 34109-8989
Phone (239) 513-9004

Other identifiers 2

IdentifierTypeStateIssuer
5808295OtherGHI
88306OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001541 FL Practitioner - Chiropractic 4486630340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8490FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
T Vision Inc Chiropractor CurrentSince Feb 7, 2003 Accepting new patients

Locations

6291 Naples Blvd
Naples, FL 34109
Phone (239) 513-9004

6645 Willow Park Dr
Ste 150
Naples, FL 34109
Phone (239) 513-9004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1861536336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 WILLOW PARK DR",
            "address_2": "SUITE 150",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341098989",
            "telephone_number": "239-513-9004",
            "fax_number": "239-597-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 WILLOW PARK DR",
            "address_2": "SUITE 150",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341098989",
            "telephone_number": "239-513-9004",
            "fax_number": "239-597-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "THOMAS",
        "middle_name": "FOSTER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5808295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88306",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.