1. Home
  2. Directory
  3. Virginia
  4. Blacksburg
  5. Chiropractor
  6. NPI Profile

DR. NICOLE MARIE BRYAN DC
NPI 1508365875
Chiropractor in Blacksburg, VA

Active since February 01, 2018Accepts Medicare Assignment
2000 KRAFT DR STE 1700, BLACKSBURG, VA 24060(540) 225-2321(540) 782-3314 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2026, Nov 19, 2025, Nov 1, 2022 (3 updates tracked since 2022).

About Dr. Nicole Marie Bryan Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE MARIE BRYAN DC (NPI 1508365875) is an individual chiropractor in Blacksburg, Virginia, licensed in Virginia (0104-557475) and active in the NPI registry since February 2018. She maintains a secondary practice location in Blacksburg and is a graduate of Other (2017).

NPPES Registry Identity

NPI1508365875
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. NICOLE MARIE BRYANCredential: DC
Location Address2000 KRAFT DR STE 1700Blacksburg, VA 24060-6839
Mailing Address810 Broad Creek Church RdNatural Bridge, VA 24578-3603 · (386) 852-6592
Phone(540) 225-2321
Fax(540) 782-3314
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 1, 2018
Last NPPES UpdateMay 9, 20263 updates tracked since enumeration
NPPES CertifiedMay 9, 2026
✔ NPI 1508365875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104-557475
Definition
A provider qualified by 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.
2000 KRAFT DR STE 1700, Blacksburg, VA 24060
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Nicole Marie Dougherty Dc

Secondary Practice Location 1

Location 1620 N Main StBlacksburg, VA 24060-3385 · Phone (540) 951-4357

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Marie Bryan Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284996927
PECOS Enrollment IDI20180316002434

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Bryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adjust Nrv, PLLC
Same address
Chiropractor
2000 KRAFT DRIVE, SUITE 1700
Blacksburg, VA 24060
  • Reassigned Medicare billing, Virginia enrollment
  • 3 clinicians in this Medicare group
NPI 1114673845 (540) 225-2321
Foundation Family Chiropractic, LLC
291 mi
Chiropractor
455 OLD TROLLEY RD STE A
Summerville, SC 29485
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1306356845 (843) 851-2417

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LOGAN ST CLAIR BROOKE DC
Chiropractor
2000 KRAFT DR STE 1700
BLACKSBURG, VA 24060
Montgomery County (540) 225-2321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Bryan's NPI number?

The NPI number for Nicole Bryan is 1508365875. It was assigned to this individual provider in the NPPES registry on February 1, 2018. The provider is also known as Dr. Nicole Marie Dougherty Dc.

Where is Nicole Bryan located?

Nicole Bryan practices at 2000 Kraft Dr Ste 1700, Blacksburg, VA 24060. The listed phone number is (540) 225-2321.

What is Nicole Bryan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nicole Bryan enrolled in Medicare?

Yes. Nicole Bryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Bryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bryan reassigns Medicare benefits to 2 organizations: Adjust Nrv, PLLC (Blacksburg, VA) and Foundation Family Chiropractic, LLC (Summerville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Bryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Bryan was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.