Active NPI
Brian Edward Wurst, D.C.
- Chiropractor
- Branson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2002030435
- Practice address
- 1232 Branson Hills Pkwy
Suite 202
Branson, MO 65616-9943 - Phone
- (417) 338-9355
- Fax
- (417) 708-9797
- NPI assigned
- Mar 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4943 | AZ | |
| Chiropractor | 111N00000X | 2002030435 | MO | Primary |
Addresses
Primary practice location
1232 Branson Hills Pkwy
Suite 202
Branson, MO 65616-9943
Mailing address
1232 Branson Hills Pkwy
Suite 202
Branson, MO 65616-9943
Phone (417) 338-9355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0930480 | Other | AZ | BLUECROSS BLUESHIELD AZ |
| 35WCGJH04 | Other | AZ | AZ. STATE COMP. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1232 Branson Hills Pkwy
Suite 202
Branson, MO 65616-4188
Phone (417) 338-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002030435 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Centers of Missouri, LLC | Chiropractor | Current | Accepting new patients |
| Buckeye Healing Arts | Past | Accepting new patients |
Locations
1232 Branson Hills Pkwy
Ste 202
Branson, MO 65616
Phone (417) 338-9355
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 Health Centers of the Ozarks
- Physical Therapist
- Branson, MO
- NPI 1699186320
Chiropractor
-
- Rehabilitation Chiropractor
- Buckeye, AZ
- NPI 1295870988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1205896412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 BRANSON HILLS PKWY",
"address_2": "SUITE 202",
"city": "BRANSON",
"state": "MO",
"postal_code": "656169943",
"telephone_number": "417-338-9355",
"fax_number": "417-708-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 BRANSON HILLS PKWY",
"address_2": "SUITE 202",
"city": "BRANSON",
"state": "MO",
"postal_code": "656169943",
"telephone_number": "417-338-9355",
"fax_number": "417-708-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURST",
"first_name": "BRIAN",
"middle_name": "EDWARD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "4943",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2002030435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD AZ",
"identifier": "AZ0930480",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ. STATE COMP.",
"identifier": "35WCGJH04",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.