Active NPI
Brian Wilner, D.C.
- Chiropractor
- Ft Lauderdale, FL
National Provider Identifier
1598975187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8052
- Practice address
- 291 E Commercial Blvd
Ft Lauderdale, FL 33334-1625 - Phone
- (954) 606-6325
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8052 | FL | Primary |
Addresses
Primary practice location
291 E Commercial Blvd
Ft Lauderdale, FL 33334-1625
Mailing address
291 E Commercial Blvd
Ft Lauderdale, FL 33334-1625
Phone (954) 606-6325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120320000912 | FL | Practitioner - Chiropractic | 9638339146 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Chiro Rehab, Inc. | Chiropractor | Current | Accepting new patients |
| South Florida Injury Centers, Inc. | Chiropractor | Current | Accepting new patients |
| South Florida Injury Centers | Chiropractor | Current | Accepting new patients |
Locations
291 E Commercial Blvd
Oakland Park, FL 33334
Phone (954) 606-6325
1700 SE Hillmoor Dr
Ste 502
Port St Lucie, FL 34952
Phone (772) 333-2648
5715 N University Dr
Tamarac, FL 33321
Phone (954) 606-6325
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.
-
- Chiropractor
- Ft Lauderdale, FL
- NPI 1770793390
-
- Chiropractor
- Fort Lauderdale, FL
- NPI 1518510841
-
- Chiropractor
- Port Saint Lucie, FL
- NPI 1932723723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1598975187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 E COMMERCIAL BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333341625",
"telephone_number": "954-606-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 E COMMERCIAL BLVD",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333341625",
"telephone_number": "954-606-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILNER",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.