Organization Active NPI

Bryan Wells, DC LLC

  • Preferred Provider Organization
  • Vero Beach, FL
National Provider Identifier
1992124754
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
CH10537 Issued in FL
Legal business name
BRYAN WELLS, DC LLC
Practice address
2601 20TH St
Ste a
Vero Beach, FL 32960-6632
Phone
(772) 299-4649
Fax
(772) 299-4651
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. Bryan Wells, DCNPI 1205108966
Title
Owner
Phone
(772) 633-8814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X CH10537 FL Primary

Addresses

Primary practice location

2601 20TH St
Ste a
Vero Beach, FL 32960-6632

Mailing address

2601 20TH St
Ste a
Vero Beach, FL 32960-6632
Phone (772) 299-4649

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1992124754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 20TH ST",
            "address_2": "STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606632",
            "telephone_number": "772-299-4649",
            "fax_number": "772-299-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 20TH ST",
            "address_2": "STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606632",
            "telephone_number": "772-299-4649",
            "fax_number": "772-299-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN WELLS, DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-633-8814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "CH10537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.