Individual provider Active NPI

Brian Edward Wurst, D.C.

  • Chiropractor
  • Branson, MO
National Provider Identifier
1205896412
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002030435 Issued in MO
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

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AZ0930480OtherAZBLUECROSS BLUESHIELD AZ
35WCGJH04OtherAZAZ. STATE COMP.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000167 MO Practitioner - Chiropractic 7810922861 Reassigns benefits to 1 organization

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
Health Centers of Missouri LLCGroup PAC ID 0446471437, 2 clinicians

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

LicenseStateTypeSpecialty
2002030435MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Centers of Missouri, LLC Chiropractor CurrentSince Aug 24, 2014 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.

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.

Verify at the official NPI Registry.