Brenton D. Wynn, MD Inc
NPI 1598953960ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· National City, CA
Physical Medicine & Rehabilitation, Pain Medicine in National City, California, registered in NPPES in October 2007. The authorized official on file is Brenton David Wynn, MEDICAL DOCTOR, Owner /President Of Corporation. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1598953960 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2007 |
| Last updated in NPPES | Jul 19, 2021 |
| Certified by provider | Jul 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | A73257 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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