Individual provider Active NPI

Bruce Michael Ward Jr., D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1033541453
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4609 Issued in NC
Practice address
301 Glenwood Ave Ste 200
Raleigh, NC 27603-1452
Phone
(919) 829-5757
Fax
(919) 829-5808
NPI assigned
Aug 8, 2013
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4609 NC Primary

Addresses

Primary practice location

301 Glenwood Ave Ste 200
Raleigh, NC 27603-1452

Mailing address

301 Glenwood Ave Ste 200
Raleigh, NC 27603-1452
Phone (919) 829-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002422 NC Practitioner - Chiropractic 8022242122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Chisholm Chiropractic Center P aGroup PAC ID 0648313445, 2 clinicians

Practice addresses (Care Compare)

301 Glenwood Ave
Suite 200
Raleigh, NC 27603-1452
Phone (919) 829-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3842SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chisholm Chiropractic Center Chiropractor Current Accepting new patients
Chisholm Chiropractic Center P a CurrentSince Feb 1, 2016 Accepting new patients

Locations

301 Glenwood Ave
Ste 200
Raleigh, NC 27603
Phone (919) 782-5288

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1033541453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GLENWOOD AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031452",
            "telephone_number": "919-829-5757",
            "fax_number": "919-829-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GLENWOOD AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031452",
            "telephone_number": "919-829-5757",
            "fax_number": "919-829-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BRUCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.