BRYAN KING (NPI# 1184156085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184156085 |
| Entity Type | Individual |
| Full Name | BRYAN KING |
| Credential | CPO |
| Practice Address |
3301 W Bethel Ave Muncie IN 47304-5402 |
| Mailing Address |
408 E Washington St Butler IN 46721-1179 |
| Practice Telephone | 7658969389 |
| Practice Fax Number | 7658969598 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588051908 | Bryan King | Counselor | 36 Faneuil St, Brighton, MA 02135-1944 | 2015-04-23 |
| 1053677161 | Bryan King | Social Worker | 4037 Berenice Pl, Los Angeles, CA 90031-1618 | 2012-04-03 |
| 1831383694 | Bryan Scott King | Counselor | 129 N Rosemont St, Amarillo, TX 79106-5213 | 2007-09-04 |
| 1629319165 | Bryan Thomas King | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-03-08 |
| 1811244890 | Bryan King | Pharmacist | 860 Folly Rd, Charleston, SC 29412-3435 | 2012-08-09 |
| 1023301876 | Bryan Jenkins King | Internal Medicine | 3006 N County Road 25a Ste 104, Troy, OH 45373-1373 | 2011-05-25 |
| 1063730992 | Bryan King | Emergency Medicine | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2010-05-17 |
| 1346474822 | Bryan C King | Dentist | 951 Penn Ave, Pittsburgh, PA 15222-3802 | 2009-05-12 |
| 1871785220 | Bryan O King | Internal Medicine | 30230 Rancho Viejo Rd, Ste 200, San Juan Capistrano, CA 92675-1557 | 2007-08-09 |
| 1700095346 | Bryan R. King | Orthopaedic Surgery | 3515 Watermelon Rd, Northport, AL 35473-5174 | 2007-05-21 |
| Street Address |
3301 W BETHEL AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841345055 | Colleen M Madden | Radiology | 3301 W Bethel Ave, Muncie, IN 47304-5402 | 2007-01-25 |
| 1134417009 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 3301 W Bethel Ave, Muncie, IN 47304-5402 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255502720 | Prevail Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 3301 W Fox Ridge Ln, Muncie, IN 47304-6364 | 2008-03-12 |
| 1134417009 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 3301 W Bethel Ave, Muncie, IN 47304-5402 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781081 | Kenney Orthopedics Indianapolis, LLC | Prosthetic/Orthotic Supplier | 1801 N Senate Blvd Ste 420, Indianapolis, IN 46202-1228 | 2020-08-18 |
| 1982220109 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 3647 Clifty Dr, Madison, IN 47250-1649 | 2020-06-23 |
| 1154941557 | Radiance Renewed | Prosthetic/Orthotic Supplier | 9445 Indianapolis Blvd Ste 1042, Highland, IN 46322-2648 | 2020-04-26 |
| 1295397735 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Prosthetic/Orthotic Supplier | 200 E Jackson Blvd Ste 130, Elkhart, IN 46516-3513 | 2019-07-05 |
| 1710465166 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10603 N Meridian St Ste 120, Indianapolis, IN 46290-1055 | 2018-07-29 |
| 1285135913 | Excel Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3200 Sycamore Ct Ste 2b, Columbus, IN 47203-1552 | 2018-02-27 |
| 1003326174 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 3130a Windsor Ct, Elkhart, IN 46514-5556 | 2017-10-03 |
| 1285144352 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 1101 Glendale Blvd Ste 105, Valparaiso, IN 46383-3769 | 2017-10-03 |
| 1669904579 | Jordan Poynter | Prosthetic/Orthotic Supplier | 3708 S Lafountain St, Kokomo, IN 46902-3805 | 2017-03-30 |
| 1184156101 | Shawn Dee Brown | Prosthetic/Orthotic Supplier | 2410 N Glendale Dr Ste C, Fort Wayne, IN 46804-8909 | 2017-03-29 |
| Find all providers with the same taxonomy | ||||
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| 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.