Brady Matthew Wirick, D,C,

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CHIA1203 Issued in ID

Practice address

1515 Ashment Ave Ste 2
Idaho Falls, ID 83404-5802

Phone

(208) 218-8622

NPI assigned

Sep 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Intermountain Regenerative Medicine

  • General Practice Physician
  • Idaho Falls, ID
  • NPI 1922731827

  Neurology

  NPD
• Summit Spine and Sport Chiropractic, PLLC

  • Sports Physician Chiropractor
  • Rexburg, ID
  • NPI 1164889226
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1164524658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ASHMENT AVE STE 2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045802",
            "telephone_number": "208-218-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 ASHMENT AVE STE 2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045802",
            "telephone_number": "208-218-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRICK",
        "first_name": "BRADY",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D,C,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "ID",
            "license": "CHIA1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayle Wines
• Eric A Wingerson, D.O.
• Ashley Elizabeth Winward, COTA
• Jory Jarom Winward, DO
• Wirick Family Chiropractic
• Shane Oliver Withers Jr., PHARMD, BCPS
• Wixom Counseling Inc
• Wixom Counseling Online
• Bret V. Wixom, LCSW
• Jordan Wixom, LPC, NCC

• Neurology Chiropractor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Neurology Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.