Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124571823 Individual Practitioner Male Practitioner

Brian Paul Royal Vanwyngarden , LMT

Contractor • Salem, OR

Professional Overview & Biography Verified Profile Summary

Brian Vanwyngarden, LMT is a registered healthcare professional specializing in Contractor in Salem, OR. Practice services are available at 2416 13TH ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2416 13th St Se

Salem, OR 973022546

Telephone 5037982918
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Salem, OR (163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License OR 21790

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1003266495

Licensed Acupuncturist

Jason Sandys , LAC

Acupuncturist

NPI 1851742704

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2016

Registered at 2416 13TH ST SE, SALEM, OR 973022546 (Tel: 5037982918)

📍
Updated Business Mailing Address July 28, 2016

Registered at 435 21ST ST SE, SALEM, OR 973018848 (Tel: 6126388449)

👤
Provider Name / Credentials Updated July 28, 2016

Recorded as BRIAN VANWYNGARDEN, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2016

Contractor (License #21790 in OR)

🟢
Initial NPI Registration & Enumeration July 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124571823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2016
Last Update: July 28, 2016
Sole Proprietor: Yes

Mailing Address

435 21st St Se

Salem, OR 973018848

Phone: 6126388449

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.