DR. BRENT J WATERMAN D.C.
NPI 1225165392
Chiropractor - Sports Physician in San Ramon, CA

Q: What is Brent Waterman's NPI number?

The NPI number for Brent Waterman is 1225165392. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Brent Waterman's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Brent Waterman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 27, 2007

3160 CROW CANYON RD, SUITE 120, SAN RAMON, CA 94583(925) 275-1990(925) 275-1993 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Brent J Waterman D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENT J WATERMAN D.C. (NPI 1225165392) is an individual sports physician in San Ramon, California, licensed in California (13414) and active in the NPI registry since February 2007. He is a graduate of Los Angeles College Of Chiropractic (1979).

NPPES Registry Identity

NPI1225165392

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. BRENT J WATERMANCredential: D.C.

Location Address3160 CROW CANYON RD, SUITE 120San Ramon, CA 94583-1368

Mailing Address3160 Crow Canyon Rd., Suite 120San Ramon, CA 94583 · (925) 275-1990 · Fax (925) 275-1993

Phone(925) 275-1990

Fax(925) 275-1993

Sole ProprietorYes

Medical School CMSLos Angeles College Of ChiropracticGraduated 1979

Enumeration DateFebruary 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1225165392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in CA · 13414

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

3160 CROW CANYON RD, San Ramon, CA 94583

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brent J Waterman D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335328087

PECOS Enrollment IDI20110126000987

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

1,023 services94 patients

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

279 services26 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUPAM KHANNA D.D.S.

Dentist

3160 CROW CANYON RD, STE 100
SAN RAMON, CA 94583

Contra Costa County (925) 866-8422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Waterman's NPI number?

The NPI number for Brent Waterman is 1225165392. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Brent Waterman located?

Brent Waterman practices at 3160 Crow Canyon Rd Suite 120, San Ramon, CA 94583. The listed phone number is (925) 275-1990.

What is Brent Waterman's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Brent Waterman enrolled in Medicare?

Yes. Brent Waterman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Waterman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.