Individual
MR. BRENT WESLEY WAHLBERG JR.
Active
Individual
MR. BRENT WESLEY WAHLBERG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005041
WA
225100000X
Physical Therapist
PT396
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010007644
BLUE SHIELD
—
01
—
131422
L AND I
WA
05
—
7018757
—
WA
Enumeration date
09/13/2006
Last updated
02/11/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up