Active NPI
Bryan Allen Deloney, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1871720193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2010009588
- Practice address
- 12977 N 40 Dr Ste 105
Saint Louis, MO 63141-8654 - Phone
- (636) 590-4686
- NPI assigned
- Jun 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 2010009588 | MO | Primary |
Addresses
Primary practice location
12977 N 40 Dr Ste 105
Saint Louis, MO 63141-8654
Mailing address
126 Hilltown Village Ctr
Chesterfield, MO 63017-0709
Phone (314) 226-4492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010009588 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Health Integrated Medical LLC | Current | Accepting new patients |
Locations
126 Hilltown Village Ctr
Chesterfield, MO 63017
Phone (314) 226-4492
12977 N 40 Dr
Ste 105
Saint Louis, MO 63141
Phone (314) 226-4492
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 and National Provider Directory roles.
-
- Chiropractor
- Saint Louis, MO
- NPI 1174845184
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1679175988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1871720193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 HILLTOWN VILLAGE CTR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630170709",
"telephone_number": "314-226-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12977 N 40 DR STE 105",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418654",
"telephone_number": "636-590-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONEY",
"first_name": "BRYAN",
"middle_name": "ALLEN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-12",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2010009588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.