DR. BRYANT LANE PONCHOT (D.C.) – Chiropractor, NPI 1508967340

DR. BRYANT LANE PONCHOT (D.C.) is a healthcare provider. based in Indianapolis, Indiana. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 08002296A (IN). The NPI Number for DR. BRYANT LANE PONCHOT (D.C.) is 1508967340

Main info

Male
Sole Proprietor
20 Years Of Experience
Name
DR. BRYANT LANE PONCHOT (D.C.)
NPI
1508967340
Phone
(317) 522-2303
Address
4625 S EMERSON AVE
Enumeration Date
26 September 2006
Last Update Date
15 April 2013

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
3175771990
Graduation Year
2006 (20 years ago)
PAC ID
7618071333
Group Practice PAC ID
2567480841
Professional Enrollment ID
I20070404000555
Address ID
IN462504455IN6905XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

770 CHIROPRACTIC in IN

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Provider Addresses for DR. BRYANT LANE PONCHOT (D.C.)

  • South Emerson Avenue, Bosart-Brown, Near Eastside, Indianapolis, Marion, Indiana, 46203, United States

    INDIANAPOLIS, IN 462035972

    Phone: (317) 522-2303

    Fax: (317) 522-2304

    Type: Mailing

  • 8258, Rockville Road, Indianapolis, Marion County, Indiana, 46214, United States

    INDIANAPOLIS, IN 462143113

    Phone: (317) 429-5400

    Fax: (317) 429-5401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070404000555IChiropracticINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions36439$0
View full utilization report →

Insurance plans in this area (ZIP 46203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567480841View full group profile
NameSpecialtyState
C H I R O P R A C T I CIN
C H I R O P R A C T I CIN
C H I R O P R A C T I CIN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. BRYANT LANE PONCHOT (D.C.)'s NPI?
Yes. DR. BRYANT LANE PONCHOT (D.C.) is listed with NPI 1508967340 in the public NPI dataset.
Does CMS list DR. BRYANT LANE PONCHOT (D.C.) as active?
Yes — DR. BRYANT LANE PONCHOT (D.C.) is active in the NPI listing used on this page.
What is DR. BRYANT LANE PONCHOT (D.C.)'s primary classification?
Chiropractor is the headline specialty for DR. BRYANT LANE PONCHOT (D.C.) here. Clinical services aligned with this taxonomy classification.
Where is DR. BRYANT LANE PONCHOT (D.C.) based?
DR. BRYANT LANE PONCHOT (D.C.) is tied to Indianapolis, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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