Look up the most recent NPI and PECOS records

Bryan Allen Wright

Chiropractor

Chiropractic Providers

3117 Dwight Road, Suite 200, Elk Grove, CA 95758

PECOS Enrollment

Based on the most recent information from CMS, provider Bryan Allen Wright does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609832468
Provider Type
Individual
Full Name
Wright, Bryan Allen
Title
Dr.
Credential
D.C.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/21/2006
Last Updated
12/22/2009

Contact Information

Practice Location

3117 Dwight Road, Suite 200, Elk Grove, CA 95758

(916) 427-4673

Unlisted Fax

Mailing Location

3117 Dwight Road, Suite 200, Elk Grove, CA 95758

(916) 427-4673

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 11-00008633 California
Code 111N00000X	Description Chiropractor Chiropractic Providers	License 2522 Massachusetts

Provider Identifiers

ID	Description	Issuer
ID Y45373	Description Medicaid	Issuer Unlisted Massachusetts
ID 1601113	Description Medicaid	Issuer Unlisted Massachusetts

Bryan Allen Wright

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Diem T. Nguyen, Dc A Profession Chiropractic Corporation

Nijjar, Kulvir Singh

Medlock, Ronald H

Stohrer, Rachael

Volpert Chiropractic, P.C.

Hightower, Andrea Michele

Kuang, Marjo Versoza

Ong, Nelson S

Raposo, Lacey

Premier Recovery, A Nijjar Chiropractic Corporation