Brent L Wise, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010614 Issued in PA

Practice address

533 W Uwchlan Ave
Suite 101
Downingtown, PA 19335-1763

Phone

(484) 593-0328

Fax

(484) 593-0440

NPI assigned

Jul 5, 2011

Last updated

Jun 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arctic Chiropractic Valdez LLC

  • Chiropractor
  • Anchorage, AK
  • NPI 1659611887
  Medicare reassignment NPD
• Chiro One Wellness Center of Huffman LLC

  • Chiropractor
  • Anchorage, AK
  • NPI 1912699083
  Medicare reassignment NPD
• Upper Cervical Chiropractic Neurology Center, LLC

  dba Upper Cervical Chiropractic Neurology Center

  • Chiropractor
  • Downingtown, PA
  • NPI 1033583810
  NPD (past)
• Upper Cervical Chiropractic Neurology Center, P.C.

  • Chiropractor
  • Downingtown, PA
  • NPI 1710279831
  NPD (past)
• Platinum Healthcare Physical Medicine, PLLC

  dba Platinum Healthcare Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
  • NPI 1194012377
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1285921833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 FYNAMORE LN",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193356028",
            "telephone_number": "484-593-0328",
            "fax_number": "484-593-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W UWCHLAN AVE",
            "address_2": "SUITE 101",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351763",
            "telephone_number": "484-593-0328",
            "fax_number": "484-593-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "BRENT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CH10298",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Frederick Williams III, PHD
• Suzanne Trunk Williams, RPH
• Tell Perry Williams IV, MSW
• Paul J Wilson III, DO
• Lauren Windle
• Richard Wisniewski, DPT
• Rebecca J Wojcik, M.A., R.D., L.D.N.
• Women's Counseling Associates of Chester County
• Braden Woodward, DDS
• Maureen Anne Worrell, PHARMACIST

• Chiropractor in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.