Active NPI
Brian Eric Wolin, DC
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1245700798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 008827
- Practice address
- 717 Church Ave
Brooklyn, NY 11218-3305 - Phone
- (718) 421-4800
- Fax
- (718) 421-4815
- NPI assigned
- Nov 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | X008827 | NY | |
| Chiropractor | 111N00000X | 008827 | NY | Primary |
Addresses
Primary practice location
717 Church Ave
Brooklyn, NY 11218-3305
Mailing address
717 Church Ave
Brooklyn, NY 11218-3305
Phone (718) 421-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008827 | NY | MD | Chiropractor |
| X008827 | NY | MD | Independent Medical Examiner Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1245700798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183305",
"telephone_number": "718-421-4800",
"fax_number": "718-421-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183305",
"telephone_number": "718-421-4800",
"fax_number": "718-421-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLIN",
"first_name": "BRIAN",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "NY",
"license": "X008827",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "008827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.