Brian E Woodard, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0380003887 Issued in IL

Practice address

100 N Glenview Dr
Suite 101
Carbondale, IL 62901-2275

Phone

(618) 529-4545

Fax

(618) 529-2822

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Woodard Wellness Group LLC

  • Chiropractor
  • Carbondale, IL
  • NPI 1891856308
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1205914181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629031477",
            "telephone_number": "618-529-4545",
            "fax_number": "618-529-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GLENVIEW DR",
            "address_2": "SUITE 101",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012275",
            "telephone_number": "618-529-4545",
            "fax_number": "618-529-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "0380003887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson G Wolz, APRN, CNS, BC
• John F Wood, O.D.
• Julie H Wood, O.D.
• Stephanie Victoria Wood, R.D.
• Woodard Wellness Group LLC
• Zachary Woosley, MA, LCPC
• Motaz R Wraikat, DO
• Amber Nicole Wright
• Amy M Wyatt, DMD
• Qianqian Xu, M.D.

• Chiropractor in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.