Nicole Marie Wilbraham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007696 Issued in MI

Practice address

51060 Hayes Rd
Macomb Township, MI 48042-4057

Phone

(586) 781-4314

Fax

(586) 781-4452

NPI assigned

Jan 10, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clements Chiropractic Clinic, Inc.

  • Chiropractor
  • Macomb, MI
  • NPI 1457431017
  NPD (past)
• CRK Chiropractic PLLC

  • Chiropractor
  • Macomb, MI
  • NPI 1770732026
  NPD (past)
• William F Goss DC I PLLC

  • Chiropractor
  • Sterling Heights, MI
  • NPI 1528119682
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1013996834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51060 HAYES RD",
            "city": "MACOMB TOWNSHIP",
            "state": "MI",
            "postal_code": "480424057",
            "telephone_number": "586-781-4314",
            "fax_number": "586-781-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51060 HAYES RD",
            "city": "MACOMB TOWNSHIP",
            "state": "MI",
            "postal_code": "480424057",
            "telephone_number": "586-781-4314",
            "fax_number": "586-781-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBRAHAM",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P115498",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95OEO53070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Glenn Miller Jr., R.PH.
• Michael P Nedley, DDS
• Douglas Gordon Paulk, D.O.
• Kostyantyn Shkilnyy
• St. John Macomb Township Emergency Physicians, P.C.

• Chiropractor in Macomb Township, MI
• Providers in Macomb Township, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.