Bret Andrew White, DC
Individual provider Active NPI Chiropractor · Vero Beach, FL
NPI 1225328784 · NPPES record last updated Jul 8, 2014
Key facts
- NPI
- 1225328784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH8776 (FL)
- Practice address
- 1635 14TH Ave
Vero Beach, FL 32960-0435 - Phone
- (772) 631-3995
- NPI assigned
- Apr 18, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1995 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simpson Chiropractic Pain and Wellness Center PA | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8776 | FL | Yes |
Addresses
Primary practice location
1635 14TH Ave
Vero Beach, FL 32960-0435
Mailing address
2014 SW Cranberry St
Port St Lucie, FL 34953-1711
Phone (772) 631-3995
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH8776 | Other | FL | LICENSE |
Other names
- Bret Andrew White
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.