Active NPI
Ichiropractic and Wellness, Inc.
- Chiropractor
- Naples, FL
National Provider Identifier
1376962159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7258
- Legal business name
- ICHIROPRACTIC AND WELLNESS, INC.
- Practice address
- 5500 Bryson Dr Ste 303
Naples, FL 34109-0922 - Phone
- (239) 596-4244
- Fax
- (239) 596-4244
- NPI assigned
- Apr 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marc Jason Browner, D.C.
- Title
- President
- Phone
- (954) 895-6272
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7258 | FL | Primary |
Addresses
Primary practice location
5500 Bryson Dr Ste 303
Naples, FL 34109-0922
Mailing address
5500 Bryson Dr Ste 303
Naples, FL 34109-0922
Phone (239) 596-4244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140616000557 | FL | Part B Supplier - Clinic/Group Practice | 0446474308 |
Receives reassigned benefits from 1 practitioner Practice locations: Naples, FL; Weston, FL |
National Provider Directory
National Provider DirectoryLocations
3200 Bailey Ln
Ste 225
Naples, FL 34105
Phone (239) 300-1756
5500 Bryson Dr
Ste 303
Naples, FL 34109
Phone (239) 596-4244
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Naples, FL
- NPI 1740286137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397001600000",
"number": "1376962159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 BRYSON DR STE 303",
"city": "NAPLES",
"state": "FL",
"postal_code": "341090922",
"telephone_number": "239-596-4244",
"fax_number": "239-596-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BRYSON DR STE 303",
"city": "NAPLES",
"state": "FL",
"postal_code": "341090922",
"telephone_number": "239-596-4244",
"fax_number": "239-596-4244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICHIROPRACTIC AND WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A",
"authorized_official_last_name": "BROWNER",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-895-6272",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.