Active NPI
Thomas Wayne Wellbrook, D.C.
- Chiropractor
- Vincennes, IN
National Provider Identifier
1235282328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003063A
- Practice address
- 2801 N 6TH St Ste F
Vincennes, IN 47591-3660 - Phone
- (812) 790-3569
- Fax
- (812) 817-0944
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003063A | IN | Primary |
Addresses
Primary practice location
2801 N 6TH St Ste F
Vincennes, IN 47591-3660
Mailing address
2801 N 6TH St Ste F
Vincennes, IN 47591-3660
Phone (812) 790-3569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2801 N 6TH St
Suite F
Vincennes, IN 47591-3660
Phone (812) 790-3569
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincennes Medical & Chiropractic Group | Chiropractor | Current | Accepting new patients |
Locations
2801 N 6th St
Ste F
Vincennes, IN 47591
Phone (812) 790-3569
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.
-
- Chiropractor
- Vincennes, IN
- NPI 1275279325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1235282328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 N 6TH ST STE F",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475913660",
"telephone_number": "812-790-3569",
"fax_number": "812-817-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 N 6TH ST STE F",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475913660",
"telephone_number": "812-790-3569",
"fax_number": "812-817-0944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLBROOK",
"first_name": "THOMAS",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003063A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.