Brett Randon Wood, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10004 Issued in TX

Practice address

2920 W. Southlake Blvd
110
Southlake, TX 76092

Phone

(817) 741-9355

Fax

(817) 741-9358

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Brett R. Wood Chiropractic, P.a.

  • Chiropractor
  • Southlake, TX
  • NPI 1639209539
  Medicare reassignment NPD Authorized official
• 360 Chiropractic & Wellness PLLC

  • Chiropractor
  • Frisco, TX
  • NPI 1861686339
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1255375952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 W. SOUTHLAKE BLVD",
            "address_2": "110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-741-9355",
            "fax_number": "817-741-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 W. SOUTHLAKE BLVD",
            "address_2": "110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-741-9355",
            "fax_number": "817-741-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRETT",
        "middle_name": "RANDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wings Home Care
• Constanze Winsauer-Burkett, RPH
• Erin Bregetha Winsett
• Kimberly Wiskow, MS. CCC-SLP
• Ginger Wolfe, M.S., CCC-SLP
• Toya Woodard, PTA
• Caylin Woods
• World Frozen Shoulder Institute Inc.
• Jesse Lee Worsham, MD
• Wound Care at Home PLLC

• Chiropractor in Southlake, TX
• Providers in Southlake, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.