Dr. Jimmy Brian Sullivan is a Tyler, Texas based male chiropractor with 11 years of experience in General Chiropractor. He completed his graduation from Other in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jimmy Brian Sullivan as General Chiropractor is 12808 in Texas. Dr. Jimmy Brian Sullivan is qualified as 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.
Complete Profile:
Dr. Jimmy Brian Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
11+ years
Medical School Attended:
Other
Graduation Year:
2013
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1540 Rice Rd Ste 400, Tyler, Texas, 75703-3223
Phone:
903-597-9021
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971873118
Enrollment ID:
I20170721000719
NPI Number:
1619368941
NPI Enumeration Date:
09 Feb, 2015
NPI Last Update On:
17 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jimmy Brian Sullivan are as mentioned below.
License Number
Specialization
State
Status
12808
Chiropractor
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jimmy Brian Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
583300AC3Z
Other
Texas
MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1540 Rice Rd Ste 400, Tyler, Texas
Zip:
75703-3223
Phone Number:
903-597-9021
Fax Number:
903-597-0840
Patients can reach Dr. Jimmy Brian Sullivan at 1540 Rice Rd Ste 400, Tyler, Texas or can call to book an appointment on 903-597-9021. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.