Individual provider Active NPI

Bryce A Palmer, D.C.

  • Chiropractor
  • Sioux City, IA
National Provider Identifier
1972597623
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6094 Issued in CO
Practice address
4400 Sergeant Rd
Suite 216
Sioux City, IA 51106-4740
Phone
(712) 274-6202
Fax
(712) 274-1198
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6094 CO Primary
Chiropractor 111N00000X 007155 IA

Addresses

Primary practice location

4400 Sergeant Rd
Suite 216
Sioux City, IA 51106-4740

Mailing address

4400 Sergeant Rd
Suite 216
Sioux City, IA 51106-4740
Phone (712) 274-6202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6094COMDAddiction (Substance Use Disorder) Counselor
007155IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Clinic, PC Chiropractor Past Accepting new patients
Siouxland Wellness Partners Chiropractor Past Accepting new patients
Knight Chiropractic & Acupuncture, P.a. Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1972597623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SERGEANT RD",
            "address_2": "SUITE 216",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064740",
            "telephone_number": "712-274-6202",
            "fax_number": "712-274-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SERGEANT RD",
            "address_2": "SUITE 216",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064740",
            "telephone_number": "712-274-6202",
            "fax_number": "712-274-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BRYCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6094",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.