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NPI Code Detail

MEDICARE: BRYCE PENICK DC

MEDICARE:   BRYCE  PENICK  DC
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
1111N00000XChiropractor4069TN

General Provider Information

NPI Number : 1750226916
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYCE PENICK DC
Provider Business Mailing Address
First Line : 3918 CEDAR GLADES DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-2996
Country : US
Telephone Number : 615-907-7490
Fax Number :
Provider Business Practice Location Address
First Line : 3918 CEDAR GLADES DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-2996
Country : US
Telephone Number : 615-907-7490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ BRYCE PENICK DC” Practice Location

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