Individual provider Active NPI

Bradford Wellnitz, D.C.

  • Chiropractor
  • El Cajon, CA
National Provider Identifier
1649631581
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14276 Issued in CA
Practice address
2234 Fletcher Pkwy
Suite E
El Cajon, CA 92020-2114
Phone
(619) 464-2772
NPI assigned
Mar 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC14276 CA Primary

Addresses

Primary practice location

2234 Fletcher Pkwy
Suite E
El Cajon, CA 92020-2114

Mailing address

2234 Fletcher Pkwy
Suite E
El Cajon, CA 92020-2114

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
DC14276CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1649631581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 FLETCHER PKWY",
            "address_2": "SUITE E",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 FLETCHER PKWY",
            "address_2": "SUITE E",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202114",
            "telephone_number": "619-464-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLNITZ",
        "first_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.