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

Dr. Randolph Raymond Ryan, DC

Individual provider Chiropractor · NPI 1780643452

Dr. Randolph Raymond Ryan, DC is a Chiropractic in Melbourne, Florida. Graduated from National College of Chiropractic in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Trained at
National College of Chiropractic
Licensed in
FL
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

21 W Fee Ave Ste A
Melbourne, FL 32901
Phone: (321) 723-5015
Fax: (321) 723-7389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH0005773 (FL)

Record details

NPI number1780643452
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMarch 21, 2006
Last updated in NPPESJanuary 7, 2016
Mailing address21 W. Fee Ave., Suite A, Melbourne, FL 32901

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNATIONAL COLLEGE OF CHIROPRACTIC
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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