MEDICARE: DR. BRYAN WESLEY CAIN D.C., B.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	14346	TX
2	111N00000X	Chiropractor	1548	NE

General Provider Information

NPI Number	:	1689808982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRYAN WESLEY CAIN D.C., B.S.

Provider Business Mailing Address
First Line	:	4210 SPICEWOOD SPRINGS RD
Second Line	:	STE 205
City	:	AUSTIN
State	:	TX
Zip	:	78759-8654
Country	:	US
Telephone Number	:	512-346-5567
Fax Number	:	512-231-1087

Provider Business Practice Location Address
First Line	:	4210 SPICEWOOD SPRINGS RD STE 205
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8654
Country	:	US
Telephone Number	:	512-346-5567
Fax Number	:	512-231-1087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	08/03/2022

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