Individual provider Active NPI

Richard Lynn Wurzler, D.C.

  • Sports Physician Chiropractor
  • Titusville, FL
National Provider Identifier
1235185372
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH0005832 Issued in FL
Practice address
1901 Jess Parrish CT
Titusville, FL 32796-2146
Phone
(321) 268-1999
Fax
(321) 264-2440
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH0005832 FL Primary

Addresses

Primary practice location

1901 Jess Parrish CT
Titusville, FL 32796-2146

Mailing address

1901 Jess Parrish CT
Titusville, FL 32796-2146
Phone (321) 268-1999

Other identifiers 1

IdentifierTypeStateIssuer
380152700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000845 FL Practitioner - ChiropracticPractitioner - Neurology 0446260319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Life Chiropractic College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 N Washington Ave
Suite 110
Titusville, FL 32796-2759
Phone (321) 268-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0005832FLMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Total Healthcare LLC CurrentSince Feb 1, 2000 Accepting new patients

Locations

2203 Garden St
Titusville, FL 32796
Phone (321) 268-4693

1901 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 268-1999

500 N Washington Ave
Ste 204
Titusville, FL 32796
Phone (321) 268-1999

500 N Washington Ave
Ste 110
Titusville, FL 32796
Phone (321) 268-1999

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1235185372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JESS PARRISH CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962146",
            "telephone_number": "321-268-1999",
            "fax_number": "321-264-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 JESS PARRISH CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962146",
            "telephone_number": "321-268-1999",
            "fax_number": "321-264-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURZLER",
        "first_name": "RICHARD",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH0005832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380152700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.