NPIMap

Individual provider Active NPI

Brent Tyson Winegeart, D.C.

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1366880833
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002716A Issued in IN
Practice address
1332 W Arch Haven Ave
Suite C
Bloomington, IN 47403-2079
Phone
(812) 333-7447
Fax
(812) 333-7442
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002716A IN Primary

Addresses

Primary practice location

1332 W Arch Haven Ave
Suite C
Bloomington, IN 47403-2079

Mailing address

1332 W Arch Haven Ave
Suite C
Bloomington, IN 47403-2079
Phone (812) 333-7447

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Wellness Center, LLC Chiropractor PastSince Dec 3, 2007 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1366880833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 W ARCH HAVEN AVE",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032079",
            "telephone_number": "812-333-7447",
            "fax_number": "812-333-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W ARCH HAVEN AVE",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032079",
            "telephone_number": "812-333-7447",
            "fax_number": "812-333-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEGEART",
        "first_name": "BRENT",
        "middle_name": "TYSON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002716A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.