Bret Alan Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7609 Issued in AZ

Practice address

16846 W Bell Rd
Suite 112
Surprise, AZ 85374-3052

Phone

(623) 556-2335

Fax

(623) 556-9382

NPI assigned

Jun 13, 2006

Last updated

Apr 5, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kearny Chiropractic LTDGroup PAC ID 5597740852, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kearny Chiropractic, LTD.

  • Chiropractor
  • Surpirse, AZ
  • NPI 1598961724
  Medicare reassignment Care Compare group NPD Authorized official
• Bailey Chiropractic

  • Chiropractor
  • Surprise, AZ
  • NPI 1518110345
  NPD (past)
• Heights Chiropractic Physicians, LLC

  • Chiropractor
  • Huber Heights, OH
  • NPI 1013932961
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1871536318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14192 W DESERT HILLS DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794902",
            "telephone_number": "623-337-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16846 W BELL RD",
            "address_2": "SUITE 112",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743052",
            "telephone_number": "623-556-2335",
            "fax_number": "623-556-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRET",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Williams, RN
• Mary Ellen Williams
• Terence Dale Williams, PA
• Aubrey Nicole Willis
• Julie Christine Willis, RNFA
• Caleb Quaid Wilson
• Danielle J Wilson, DNP,APRN, FNP, PMHNP
• Brice Wiltgen, DC
• Wings 4 Hope Adult Care Services Inc.
• With You Home Care LLC

• Chiropractor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.