BRICE WILTGEN (NPI# 1043584881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043584881 |
| Entity Type | Individual |
| Full Name | BRICE WILTGEN |
| Credential | DC |
| Practice Address |
15288 W Brookside Ln Ste 139 Surprise AZ 85374-3990 |
| Practice Telephone | 6235444444 |
| Mailing Telephone | 6235444444 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8744 | AZ | Chiropractic Providers |
| Street Address |
15288 W BROOKSIDE LN STE 139 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-3990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730657230 | Brice Wiltgen D.c., Pllc | Clinic/Center | 15288 W Brookside Ln Ste 139, Surprise, AZ 85374-3990 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881258226 | Nicholas Andrew Pyle | Chiropractor | 13578 W Hearn Rd, Surprise, AZ 85379-8362 | 2019-04-30 |
| 1730562638 | Integrity Family Wellness | Chiropractor | 16485 N Stadium Way, 3001, Surprise, AZ 85374-4376 | 2015-07-09 |
| 1689053209 | Brett Lange | Chiropractor | 13757 W Bell Rd, Suite 101, Surprise, AZ 85374-2452 | 2015-05-28 |
| 1497043830 | Carol Watkins | Chiropractor | 16630 W Greenway Rd Ste 321, Surprise, AZ 85388-2189 | 2011-07-19 |
| 1033343470 | Jason Lee Hawkins | Chiropractor | 15278 W Bell Rd Ste 114, Surprise, AZ 85374-3101 | 2009-05-13 |
| 1215108170 | Van Metre Chiropractic Pllc | Chiropractor | 13754 W Bell Rd Ste 2, Surprise, AZ 85374-3879 | 2008-03-19 |
| 1104096270 | Jed L Zastrow | Chiropractor | 18775 N Reems Rd Ste 360, Surprise, AZ 85374-8647 | 2008-03-05 |
| 1760667752 | Louis Verloop | Chiropractor | 14545 W Grand Ave Ste A106, Surprise, AZ 85374-7278 | 2008-01-08 |
| 1225217110 | Combs Surprise Crossing, LLC | Chiropractor | 13794 W Waddell Rd, Suite 205, Surprise, AZ 85379-8499 | 2007-10-29 |
| 1508055484 | Eric Daniel Marcotte | Chiropractor | 13927 W Grand Ave Ste 402, Surprise, AZ 85374-2438 | 2007-10-17 |
| Find all providers in SURPRISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.