Active NPI
Bryan Gregory Carter, DC
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1932105418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8437
- Practice address
- 7315 S Hulen St
Fort Worth, TX 76133-6616 - Phone
- (817) 346-0453
- Fax
- (817) 346-0967
- NPI assigned
- Jun 21, 2005
- Last updated
- Jun 21, 2016
- 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 | 8437 | TX | Primary |
Addresses
Primary practice location
7315 S Hulen St
Fort Worth, TX 76133-6616
Mailing address
7315 S Hulen St
Fort Worth, TX 76133-6616
Phone (817) 346-0453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06093375 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120106000587 | TX | Practitioner - Chiropractic | 3173799251 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Spine and Wellness PLLC | Chiropractor | Current | Accepting new patients |
Locations
7315 S Hulen St
Fort Worth, TX 76133
Phone (707) 630-1577
Organizations & group practices 3
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
- Fort Worth, TX
- NPI 1295011336
-
- General Practice Physician
- Fort Worth, TX
- NPI 1881064525
-
dba Hulen Chiropractic Clinic
- Chiropractor
- Fort Worth, TX
- NPI 1679325021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1932105418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7315 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761336616",
"telephone_number": "817-346-0453",
"fax_number": "817-346-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761336616",
"telephone_number": "817-346-0453",
"fax_number": "817-346-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "BRYAN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C06093375",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.