Provider Demographics
NPI:1386737948
Name:SEIBERT, JAMES BRYON (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRYON
Last Name:SEIBERT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7177 NOLENSVILLE RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-9596
Mailing Address - Country:US
Mailing Address - Phone:615-776-2424
Mailing Address - Fax:
Practice Address - Street 1:7177 NOLENSVILLE RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9596
Practice Address - Country:US
Practice Address - Phone:615-776-2424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3141470OtherBCBS OF TENNESSEE
TN10835964OtherCAQH
TN3973512Medicare ID - Type Unspecified