Active NPI
Brandon John Wenger, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1326295817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3878
- Practice address
- 1954 SE 182ND Ave
Portland, OR 97233-5602 - Phone
- (503) 667-8988
- Fax
- (503) 667-8976
- NPI assigned
- Aug 26, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3878 | OR | Primary |
| Chiropractor | 111N00000X | 60026121 | WA |
Addresses
Primary practice location
1954 SE 182ND Ave
Portland, OR 97233-5602
Mailing address
1954 SE 182ND Ave
Portland, OR 97233-5602
Phone (503) 667-8988
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3878 | OR | MD | Professional Counselor |
| 60026121 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1326295817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 SE 182ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335602",
"telephone_number": "503-667-8988",
"fax_number": "503-667-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1954 SE 182ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335602",
"telephone_number": "503-667-8988",
"fax_number": "503-667-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "BRANDON",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3878",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60026121",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.