Individual provider Active NPI

Brian Winningham, D.C.

  • Rehabilitation Chiropractor
  • Arlington, TX
National Provider Identifier
1487873063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8197 Issued in TX
Practice address
2601 Galleria Dr
Arlington, TX 76011-6749
Phone
(817) 640-8040
Fax
(817) 640-8067
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 8197 TX Primary

Addresses

Primary practice location

2601 Galleria Dr
Arlington, TX 76011-6749

Mailing address

2601 Galleria Dr
Arlington, TX 76011-6749
Phone (817) 640-8040

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8197TXMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487873063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GALLERIA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116749",
            "telephone_number": "817-640-8040",
            "fax_number": "817-640-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GALLERIA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116749",
            "telephone_number": "817-640-8040",
            "fax_number": "817-640-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNINGHAM",
        "first_name": "BRIAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.