Brian Wilkins, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5116 Issued in OR

Practice address

20015 SW Pacific Hwy Ste 302
Sherwood, OR 97140-9316

Phone

(503) 625-0500

Fax

(503) 625-0119

NPI assigned

Jan 16, 2013

Sex

Male

Sole proprietor

No

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 OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sherwood Boulevard Chiropractic LLCGroup PAC ID 0042548976, 3 clinicians

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.

• Sherwood Boulevard Chiropractic, LLC

  dba Elite Spine and Sports

  • Chiropractor
  • Sherwood, OR
  • NPI 1770980021
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1841537479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20015 SW PACIFIC HWY STE 302",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409316",
            "telephone_number": "503-625-0500",
            "fax_number": "503-625-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20015 SW PACIFIC HWY STE 302",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409316",
            "telephone_number": "503-625-0500",
            "fax_number": "503-625-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "BRIAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Weismiller, R.D.
• Jenessa M Well, PA-C
• Kristina R West, L.M.T.
• Anna M Westin
• Jasmine River Wilder
• William C. Edell DDS
• Lily Williams
• Christopher Todd Wilson, D.D.S.
• Julianne Marie Wilson, PT
• Austin Wolf, PHARMD

• Chiropractor in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.