MARK WILLIAM BRYAN D.C. NPI 1114042074

NPI Information

NPI: 1114042074
Provider Name: MARK WILLIAM BRYAN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2815 YELM HWY SE
OLYMPIA, WA
ZIP 98501
Phone: (360) 456-8605
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Mark William Bryan, D.C. is a chiropractor in Olympia, WA with 38 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Mark William Bryan, D.C. NPI is 1114042074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2815 YELM HWY SE
OLYMPIA, WA
ZIP 98501-829
Phone: (360) 456-8605
Fax: (360) 456-0155

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH00002146	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001001469	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	T02848	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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