BRYAN CHIROPRACTIC, P.A.
BRYAN CHIROPRACTIC, P.A. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104021435, based in Saint Paul, MN. The organization lists 2 taxonomy classifications, with Sports Physician Chiropractor recorded as primary.
Getting there
The practice address on file is 1053 GRAND AVE SUITE 114, Saint Paul, MN 55105. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4416 | MN | Sports Physician Chiropractor primary |
| 4416 | MN | Chiropractor |
This provider holds licence 4416 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Sports Physician covers
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. NUCC Health Care Provider Taxonomy, code 111NS0005X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 111NS0005X | Sports Physician Chiropractor Sports Physician | 4416 | MN | primary |
| 111N00000X | Chiropractor | 4416 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104021435 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 18, 2007 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
1053 GRAND AVE SUITE 114 Saint Paul, MN 55105 (651) 292-9247 Fax (651) 292-9257 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 0 | 2 | 1 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 0 | 2 | 2 | 4 | 6 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.