Brent J Waterman, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

13414 Issued in CA

Practice address

3160 Crow Canyon Rd
Suite 120
San Ramon, CA 94583-1368

Phone

(925) 275-1990

Fax

(925) 275-1993

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waterman Chiropractic Center Inc.

  • Chiropractor
  • San Ramon, CA
  • NPI 1407495997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1225165392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CROW CANYON RD STE 120",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831382",
            "telephone_number": "925-275-1990",
            "fax_number": "925-275-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CROW CANYON RD",
            "address_2": "SUITE 120",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831368",
            "telephone_number": "925-275-1990",
            "fax_number": "925-275-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "BRENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "13414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Warrier, M.S., CGC
• Kayla Renee Waschkowsky
• Daphney Washington, RN
• Jerry H. Watanabe, D.D.S., M.S.
• Waterman Chiropractic Center Inc.
• Devin Stanley Waterman, D.C.
• Katherine Watkin
• Shelly Webb
• Webster Orthopaedic Medical Group, a Professional Corp.
• Webster Orthopaedic Medical Group, a Professional Corporation

• Sports Physician Chiropractor in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.