Active NPI
Gary Bradford Wright, D.C.
- Sports Physician Chiropractor
- Anaheim, CA
National Provider Identifier
1073644811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC023059
- Practice address
- 50 S. Anaheim Blvd. #250
Anaheim, CA 92805-2960 - Phone
- (714) 956-2225
- Fax
- (714) 956-5350
- NPI assigned
- Mar 7, 2007
- Last updated
- Nov 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC023059 | CA | Primary |
Addresses
Primary practice location
50 S. Anaheim Blvd. #250
Anaheim, CA 92805-2960
Mailing address
50 S. Anaheim Blvd. #250
Anaheim, CA 92805-2960
Phone (714) 956-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC023059 | Other | CA | STATE LICENSE |
| DC0230590 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC023059 | CA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary B. Wright Chiropractic Corporation | Current | Accepting new patients | |
| Sports and Family Chiropractic | Sports Physician | Current | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
dba Sports & Family Chiropractic
- Clinic/Center
- Anaheim, CA
- NPI 1407015696
-
- Sports Physician Chiropractor
- Anaheim, CA
- NPI 1508900838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1073644811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S. ANAHEIM BLVD. #250",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052960",
"telephone_number": "714-956-2225",
"fax_number": "714-956-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S. ANAHEIM BLVD. #250",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052960",
"telephone_number": "714-956-2225",
"fax_number": "714-956-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "GARY",
"middle_name": "BRADFORD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC023059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DC023059",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0230590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
- Wound Savers of California Inc
- WP&H,LLC (CompPlus Ancillary)
- WP&H,LLC (California Medical Supplies/Military Medical Supplies)
- Wraparoundaba
- Dylan Christopher Wright
- Jesse Wright
- Margot Jean Wright, MS, MFT
- Martin Carl Writer, D.D.S.,M.S.D.
- WSM Hearing Centers of Orange County, Inc (Sonus Sf0007)
- Wu Chiropractic Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.