Byron Ethan Gambol Agapay, DC
Individual provider Active NPI Chiropractor · Raleigh, NC
NPI 1164053153 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1164053153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6061 (OR)
- Practice address
- 8515 Falls of Neuse Rd
Raleigh, NC 27615-3513 - Phone
- (919) 582-7057
- NPI assigned
- Jan 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Life Clinic of NC PC
Practice addresses (Care Compare)
8515 Falls of Neuse Rd
Raleigh, NC 27615-3513
Phone (919) 582-7057
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230810000860 | NC | Practitioner - Chiropractic | 3476982281 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy LLC | Current |
Accepting new patients | |
| Life Clinic of NC PC | Chiropractor | Current |
Accepting new patients |
Locations
8515 Falls of Neuse Rd
Raleigh, NC 27615
Phone (919) 582-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6061 | OR | Yes |
Addresses
Primary practice location
8515 Falls of Neuse Rd
Raleigh, NC 27615-3513
Mailing address
503 Cottage LN
Durham, NC 27713-7303
Phone (808) 781-2772
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All providers in Raleigh, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.