BRICE WILTGEN D.C., PLLC
NPI 1730657230
Clinic/Center - Health Service in Surprise, AZ

Active since November 02, 2018
15288 W BROOKSIDE LN STE 139, SURPRISE, AZ 85374(623) 544-4444 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brice Wiltgen D.c., Pllc NPPES

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

BRICE WILTGEN D.C., PLLC (NPI 1730657230) is a healthcare organization registered as a health service in Surprise, Arizona and active in the NPI registry since November 2018. The organization lists Brice Wiltgen, Member, as its authorized official.

NPPES Registry Identity

NPI1730657230
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBRICE WILTGEN D.C., PLLC
Location Address15288 W BROOKSIDE LN STE 139Surprise, AZ 85374-3990
Mailing Address15288 W Brookside Ln Ste 139Surprise, AZ 85374-3990 · (623) 544-4444
Organization SubpartNo
Authorized OfficialBrice WiltgenMember · (308) 440-9821
Enumeration DateNovember 2, 2018
✔ NPI 1730657230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
15288 W BROOKSIDE LN STE 139, Surprise, AZ 85374

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brice Wiltgen D.c., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brice Wiltgen D.C., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1043584881
15288 W BROOKSIDE LN STE 139
Surprise, AZ 85374
(623) 544-4444
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brice Wiltgen D.C., PLLC's NPI number?

The NPI number for Brice Wiltgen D.C., PLLC is 1730657230. It was assigned to this organization in the NPPES registry on November 2, 2018.

Where is Brice Wiltgen D.C., PLLC located?

Brice Wiltgen D.C., PLLC is located at 15288 W Brookside Ln Ste 139, Surprise, AZ 85374. The listed phone number is (623) 544-4444.

What is Brice Wiltgen D.C., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Brice Wiltgen D.C., PLLC enrolled in Medicare?

Yes. Brice Wiltgen D.C., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brice Wiltgen D.C., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Brice Wiltgen D.C., PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brice Wiltgen D.C., PLLC was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.