MR. OWEN BRADFORD WHITENBURG (D.C.) – Rehabilitation Chiropractor, NPI 1720109077

MR. OWEN BRADFORD WHITENBURG (D.C.) is a healthcare provider. based in Corpus christi, Texas. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. DC5203 (TX). The NPI Number for MR. OWEN BRADFORD WHITENBURG (D.C.) is 1720109077

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MR. OWEN BRADFORD WHITENBURG (D.C.)
NPI
1720109077
Phone
(361) 225-2525
Address
3633 S STAPLES ST
Enumeration Date
3 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124422777
Graduation Year
1986 (40 years ago)
PAC ID
9830465632
Group Practice PAC ID
1355384389
Professional Enrollment ID
I20171023002548
Address ID
TX787045500AU2407XDXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,110 CHIROPRACTIC in TX

Provider Addresses for MR. OWEN BRADFORD WHITENBURG (D.C.)

  • 3633 S STAPLES ST

    CORPUS CHRISTI, TX 784112438

    Phone: (361) 225-2525

    Fax: (361) 225-2530

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171023002548IChiropracticTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78411)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355384389View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX

Reviews

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Frequently asked questions

Does MR. OWEN BRADFORD WHITENBURG (D.C.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. OWEN BRADFORD WHITENBURG (D.C.) uses 1720109077.
Does CMS list MR. OWEN BRADFORD WHITENBURG (D.C.) as active?
Yes — MR. OWEN BRADFORD WHITENBURG (D.C.) is active in the NPI listing used on this page.
What healthcare role does MR. OWEN BRADFORD WHITENBURG (D.C.) hold?
Scheduling teams often label MR. OWEN BRADFORD WHITENBURG (D.C.) under Rehabilitation Chiropractor. Clinical services aligned with this taxonomy classification.
Where is MR. OWEN BRADFORD WHITENBURG (D.C.) based?
MR. OWEN BRADFORD WHITENBURG (D.C.) is tied to Corpus Christi, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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