OrganizationActiveAccepts Medicare
Wanda I. Nieves-Moreno, DC, LLC
NPI 1639463516 · Chiropractor · Brandon, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1639463516
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Wanda Nieves-Moreno, Managing Member(813) 685-5200
- License
- CH8811 (FL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
654 E Bloomingdale Ave
Brandon, FL 33511-8111
Phone: (813) 685-5200
Fax: (813) 654-8758
Street-level locationGet directions
Mailing address
654 E Bloomingdale Ave
Brandon, FL 33511-8111
Other names (DBA / former)
- Doing business as
- Brandon Chiropractic and Massage
Registry dates
- Enumerated
- 2011-06-08
- Last updated
- 2011-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.