Brenton D Wynn, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A73257 Issued in CA

Practice address

502 Euclid Ave Ste 200
National City, CA 91950-2984

Phone

(619) 434-4019

Fax

(619) 461-5663

NPI assigned

Aug 9, 2005

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brenton D. Wynn, MD Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • National City, CA
  • NPI 1598953960
  Authorized official Same address or phone
• Innovative Pain Management Medical Group

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • National City, CA
  • NPI 1902330285
  Authorized official Same address or phone
• Candelario Chiropractic a Professional Corporation

  dba Rise Wellness Center

  • Chiropractor
  • Bonita, CA
  • NPI 1225189905
  NPD
• Martin C Fineman MD Med Corp

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1689979114
  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1528069820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502984",
            "telephone_number": "619-434-4019",
            "fax_number": "619-461-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502984",
            "telephone_number": "619-434-4019",
            "fax_number": "619-461-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "BRENTON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A73257",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A73257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl-Marvin Kenneth-Elijah Wright
• Eva Yuting Wu, O.D.
• Hai Wu
• PO-Chin John Wu, M.D.
• Christine Irene Wyeth I, LEP
• Mariusz Witold Wysoczanski, M.D.
• Yan Pharmacy (Plaza Pharmacy)
• Adam D Yan, PHARMD
• Wai Yan, PHARM.D.
• Edgar Geronimo Yap Jr, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in National City, CA
• Providers in National City, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.