Glen Jeffrey Wilkinson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13583 Issued in TX

Practice address

3115 S 1St St Apt 101
Austin, TX 78704-6357

Phone

(512) 809-1113

Fax

(512) 641-8044

NPI assigned

Mar 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• V.I.P. Chiropractic Care, PLLC

  dba V.I.P. Chiropractic Care

  • Chiropractor
  • Austin, TX
  • NPI 1073098265
  Medicare reassignment NPD Authorized official
• Schroder Chiropractic LLC

  • Chiropractor
  • Austin, TX
  • NPI 1548850308
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1801391495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 S 1ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451128",
            "telephone_number": "512-809-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S 1ST ST APT 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046357",
            "telephone_number": "512-809-1113",
            "fax_number": "512-641-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "GLEN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Nicole Wilkins
• Mary M Wilkins, PT,DPT
• Steven A Wilkins, DO
• Thomas Robert Wilkins, O.D.
• Rebecca Wilkinson-Smith, M.A. CCC-SLP
• Katelyn Wilkinson, LCSW
• Mackenzie Wilkinson, BCBA
• Michelle Moore Wilkinson, MA, LPC
• Nancy Lee Willbern, PHD
• James Greer Willcox, M.D.

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.