Active NPI
Brandon Wilbanks, D.C.
- Chiropractor
- Tulsa, OK
National Provider Identifier
1346538857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4035
- Practice address
- 3820 E 51St St
Suite a
Tulsa, OK 74135-3627 - Phone
- (918) 747-3939
- NPI assigned
- Jul 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4035 | OK | Primary |
Addresses
Primary practice location
3820 E 51St St
Suite a
Tulsa, OK 74135-3627
Mailing address
8205 E Regal CT
Ste 106
Tulsa, OK 74133-7183
Phone (918) 747-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8205 E Regal CT
Suite 106
Tulsa, OK 74133-7183
Phone (918) 671-8506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4035 | OK | MD | Speech-Language Pathologist |
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
- Tulsa, OK
- NPI 1922358779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499644800000",
"number": "1346538857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 E REGAL CT",
"address_2": "STE 106",
"city": "TULSA",
"state": "OK",
"postal_code": "741337183",
"telephone_number": "918-747-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 E 51ST ST",
"address_2": "SUITE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741353627",
"telephone_number": "918-747-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBANKS",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-18",
"last_updated": "2017-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.