Healthcare Provider Details

I. General information

NPI: 1033298716
Provider Name (Legal Business Name): BRYAN C HANSEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10635 PROFESSIONAL CIR SUITE B
RENO NV
89521-5849
US

IV. Provider business mailing address

10635 PROFESSIONAL CIR SUITE B
RENO NV
89521-5849
US

V. Phone/Fax

Practice location:
  • Phone: 775-284-4900
  • Fax: 775-284-4902
Mailing address:
  • Phone: 775-284-4900
  • Fax: 775-284-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB01030
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: