Individual provider Active NPI

Brian Wright, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1013985415
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7327 Issued in AZ
Practice address
633 E Ray Rd
Ste 110
Gilbert, AZ 85296-4202
Phone
(480) 222-6059
Fax
(480) 664-2093
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7327 AZ Primary
Rehabilitation Chiropractor 111NR0400X 4012 AZ

Addresses

Primary practice location

633 E Ray Rd
Ste 110
Gilbert, AZ 85296-4202

Mailing address

633 E Ray Rd
Ste 110
Gilbert, AZ 85296-4202
Phone (480) 222-6059

Other identifiers 2

IdentifierTypeStateIssuer
7327OtherAZAZ BOARD NUMBER
4012OtherAZPHYSIOTHERAPY CERTIFICATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000475 AZ Practitioner - Chiropractic 8729038724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

633 E Ray Rd
Suite 110
Gilbert, AZ 85296-4202
Phone (480) 222-6059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7327AZMDChiropractor
4012AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Chiropractic LLC CurrentSince Aug 28, 2003 Accepting new patients

Locations

633 E Ray Rd
Ste 110
Gilbert, AZ 85296
Phone (480) 222-6059

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1013985415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD",
            "address_2": "STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964202",
            "telephone_number": "480-222-6059",
            "fax_number": "480-664-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD",
            "address_2": "STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964202",
            "telephone_number": "480-222-6059",
            "fax_number": "480-664-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7327",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD NUMBER",
            "identifier": "7327",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSIOTHERAPY CERTIFICATE",
            "identifier": "4012",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.