Individual provider Active NPI

Brianne Wolfer, DC

  • Chiropractor
  • New Smyrna, FL
National Provider Identifier
1346993102
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14166 Issued in FL
Practice address
1205 N Dixie Fwy
New Smyrna, FL 32168-6005
Phone
(386) 423-5259
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14166 FL Primary

Addresses

Primary practice location

1205 N Dixie Fwy
New Smyrna, FL 32168-6005

Mailing address

1205 N Dixie Fwy
New Smyrna, FL 32168-6005
Phone (989) 372-4550

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

LicenseStateTypeSpecialty
CH14166FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Smyrna Beach Chiropractic Clinic PLC Chiropractor CurrentSince Jun 24, 2024 Accepting new patients
Anchor Injury and Integrative Health, LLC CurrentSince Jun 24, 2024 Accepting new patients
Mati Custom Chiropractic Corporation Chiropractor PastSince Feb 1, 2022 Accepting new patients

Locations

1205 N Dixie Fwy
New Smyrna Beach, FL 32168
Phone (386) 423-5259

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1346993102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N DIXIE FWY",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321686005",
            "telephone_number": "989-372-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N DIXIE FWY",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321686005",
            "telephone_number": "386-423-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFER",
        "first_name": "BRIANNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.