DR. BRYAN JOSEPH CAPEN I (NPI# 1184727976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184727976 |
| Entity Type | Individual |
| Full Name | DR. BRYAN JOSEPH CAPEN I |
| Credential | D.C. |
| Practice Address |
25136 Jefferson Ct South Lyon MI 48178-1173 |
| Practice Telephone | 3133335250 |
| Mailing Telephone | 3133335250 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 038011440 | IL | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 2301008720 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 950H202000 | 01 |
| Street Address |
25136 JEFFERSON CT |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770902488 | Mobile Care | Chiropractor | 25136 Jefferson Ct, South Lyon, MI 48178-1173 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1043633191 | Kwonsoo Kenneth Kim | Anesthesiology | 8854 Stoney Creek Dr., South Lyon, MI 48178 | 2014-01-27 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| Find all providers in zip 48178 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
| 1568669224 | Lalonde Chiropractic Clinic Inc | Chiropractor | 13652 10 Mile Rd, South Lyon, MI 48178-9143 | 2007-06-27 |
| 1215030309 | Russell John Lalonde | Chiropractor | 13652 Ten Mile Road, South Lyon, MI 48178 | 2006-09-06 |
| 1811903313 | Silverback, Inc. | Chiropractor | 12516 Ten Mile Rd, South Lyon, MI 48178-8171 | 2006-08-01 |
| 1841206513 | Larry Kaplan Kaplan | Chiropractor | 410 N Lafayette St, South Lyon, MI 48178-1213 | 2006-08-01 |
| 1609882828 | Brian J Canadi | Chiropractor | 12516 10 Mile Rd, South Lyon, MI 48178-8171 | 2006-07-31 |
| 1770902488 | Mobile Care | Chiropractor | 25136 Jefferson Ct, South Lyon, MI 48178-1173 | 2014-04-09 |
| 1073812293 | South Lyon Chiropractic Pllc | Chiropractor | 327 N Lafayette St, South Lyon, MI 48178-4002 | 2011-03-28 |
| 1689981300 | Jamie J Penn | Chiropractor | 327 N Lafayette St, South Lyon, MI 48178-4002 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
| 1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
| 1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
| 1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
| 1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
| 1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
| 1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
| 1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
| 1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
| 1639789522 | Ian Shepstone | Chiropractor | 139 W Michigan Ave, Grass Lake, MI 49240-9188 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
Please comment or provide details below to improve the information on DR. BRYAN JOSEPH CAPEN I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.