Individual provider Active NPI

Gary Bradford Wright, D.C.

  • Sports Physician Chiropractor
  • Anaheim, CA
National Provider Identifier
1073644811
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC023059 Issued in CA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DC023059OtherCASTATE LICENSE
DC0230590MedicaidCA

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

LicenseStateTypeSpecialty
DC023059CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.