OrganizationActive
Wellington Provider Group PC
NPI 1629780804 · Family Medicine Physician · Wilmington, DE
Provider details
- NPI number
- 1629780804
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wellington Provider Group PC
- Organization subpart
- Yes
- Authorized official
- Mariela Bravo, Credentialing Team Lead(859) 518-8817
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 N West St Ste 1200
Wilmington, DE 19801-1058
Phone: (859) 518-8817
Fax: (859) 201-1084
Street-level locationGet directions
Mailing address
535 Wellington Way Ste 330
Lexington, KY 40503-1331
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.