Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jimmy Brian Sullivan, DC

Individual provider Chiropractor · NPI 1619368941

Dr. Jimmy Brian Sullivan, DC is a Chiropractic in Tyler, Texas. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2015
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1540 Rice Rd Ste 400
Tyler, TX 75703-3223
Phone: (903) 597-9021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 12808 (TX)

Record details

NPI number1619368941
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 9, 2015
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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