BRENTON D. WYNN, MD INC – NPI #1598953960
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

BRENTON D. WYNN, MD INC is a provider located in NATIONAL CITY, CA. NPPES has assigned the NPI number 1598953960 to BRENTON D. WYNN, MD INC on October 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 5 years ago on Jul 19, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRENTON D. WYNN, MD INC below.

NPI Profile for
BRENTON D. WYNN, MD INC

NPI Number
1598953960
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRENTON D. WYNN, MD INC
Primary location
502 EUCLID AVE STE 200
NATIONAL CITY, CA 91950-2984
Phone: (619) 434-4019 Fax: (619) 461-5663
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRENTON WYNN
OWNER /PRESIDENT OF CORPORATION
Phone: (619) 318-8233
Updated
Certification Date
Jul 19, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)		 CA A73257

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.