| Wendell Family Chiropractic | |
|
2825 Wendell Blvd., Wendell, NC 27591 | |
| (919) 366-3111 | |
| (919) 366-3366 |
| Full Name | Wendell Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2825 Wendell Blvd., Wendell, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366525149 | NPI | - | NPPES |
| 017N6 | Other | NC | BCBS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| Provider Name | Mark T Vardy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912008640 PECOS PAC ID: 4688605850 Enrollment ID: I20050831000878 |
| Provider Name | Chad E Chisholm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124182019 PECOS PAC ID: 8921141714 Enrollment ID: I20100202000401 |
| Provider Name | Adam L Beck |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780096131 PECOS PAC ID: 9335360361 Enrollment ID: I20141016001141 |
| Provider Name | Timothy Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629650502 PECOS PAC ID: 5193134930 Enrollment ID: I20210507002368 |
| Provider Name | Derek Moses Brady |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194476572 PECOS PAC ID: 7214317734 Enrollment ID: I20220630000859 |
| Provider Name | Sara Guevara Howell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518686831 PECOS PAC ID: 0749665842 Enrollment ID: I20220909001259 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendell Family Chiropractic Po Box 92, Wendell, NC 27591-0092 Ph: (919) 366-3111 | Wendell Family Chiropractic 2825 Wendell Blvd., Wendell, NC 27591 Ph: (919) 366-3111 |
919 Spine East Wake Sports Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 210 W Academy St, Wendell, NC 27591 Phone: 518-321-7584 Fax: 919-342-6900 | |
Sara Guevara Howell, Chiropractor Medicare: Medicare Enrolled Practice Location: 2555 Wendell Blvd Ste A, Wendell, NC 27591 Phone: 919-366-3111 | |
Dr. Adam Roman Bizan, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2825 Wendell Blvd, Wendell, NC 27591 Phone: 919-366-3111 Fax: 919-366-3366 | |
Dr. Mark Vardy, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2825 Wendell Blvd, Wendell, NC 27591 Phone: 919-366-3111 Fax: 919-366-3111 |