NPIMap

Organization Active NPI

Bryan M Wells DC PLLC

  • Chiropractor
  • Vero Beach, FL
National Provider Identifier
1083149389
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10537 Issued in FL
Legal business name
BRYAN M WELLS DC PLLC
Practice address
780 US Highway 1 Unit 201
Vero Beach, FL 32962-1662
Phone
(772) 633-8814
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Dr. Bryan M Wells, DCNPI 1205108966
Title
Owner/Director
Phone
(772) 633-8814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH10537 FL Primary

Addresses

Primary practice location

780 US Highway 1 Unit 201
Vero Beach, FL 32962-1662

Mailing address

780 US Highway 1 Unit 201
Vero Beach, FL 32962-1662

Other names 1

  • FLORIDA SPINE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707001035 FL Part B Supplier - Clinic/Group Practice 0648549667 Receives reassigned benefits from 4 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

780 US Highway 1
Unit 201
Vero Beach, FL 32962
Phone (772) 567-7777

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1083149389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 US HIGHWAY 1 UNIT 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 US HIGHWAY 1 UNIT 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621662",
            "telephone_number": "772-633-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN M WELLS DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "772-633-8814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA SPINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.