Individual provider Active NPI

Brandon J Wentzel, D.C.

  • Chiropractor
  • McKees Rocks, PA
National Provider Identifier
1013046168
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009321 Issued in PA
Practice address
1229 Silver LN
Ste. 2G
MC Kees Rocks, PA 15136-1063
Phone
(412) 859-3727
Fax
(412) 859-3727
NPI assigned
Mar 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009321 PA Primary

Addresses

Primary practice location

1229 Silver LN
Ste. 2G
MC Kees Rocks, PA 15136-1063

Mailing address

1229 Silver LN
Ste. 2G
MC Kees Rocks, PA 15136-1063
Phone (412) 859-3727

Other identifiers 4

IdentifierTypeStateIssuer
438705OtherPAHEALTH AMERICA
7682678OtherPAAETNA
WE1691029OtherPAHIGHMARK
21403OtherPAASHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000717 PA Practitioner - Chiropractic 7012950736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1829 University Dr
Dunbar, PA 15431-2050
Phone (724) 628-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Health and Rehabilitation Chiropractor CurrentSince Jul 3, 2010 Accepting new patients
Allcare Health & Rehabilitation Chiropractor Current Accepting new patients
Health First Medical Center, PC Chiropractor Past Accepting new patients

Locations

1829 University Dr
Dunbar, PA 15431
Phone (724) 628-6677

6091 Steubenville Pike
Ste 9
Mc Kees Rocks, PA 15136
Phone (412) 482-3727

734 E Warrington Ave
Pittsburgh, PA 15210
Phone (412) 481-1188

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Interoperability endpoints

  • Direct secure messaging: brandonw@hfmc.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013046168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 SILVER LN",
            "address_2": "STE. 2G",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361063",
            "telephone_number": "412-859-3727",
            "fax_number": "412-859-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 SILVER LN",
            "address_2": "STE. 2G",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361063",
            "telephone_number": "412-859-3727",
            "fax_number": "412-859-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZEL",
        "first_name": "BRANDON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "438705",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7682678",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "WE1691029",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "21403",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKees Rocks, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.