Wig Out LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WIG OUT LLC

Practice address

905 Kenilworth Ave Apt 413
Charlotte, NC 28204-3523

Phone

(704) 457-0132

NPI assigned

Jun 7, 2025

Organization subpart

No

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

Authorized official

Name

Brooke Ross

Title

Owner

Phone

(704) 231-8039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1285528778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 KENILWORTH AVE APT 413",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043523",
            "telephone_number": "704-457-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 KENILWORTH AVE APT 413",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043523",
            "telephone_number": "704-457-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIG OUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-07",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-231-8039"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy E Wiener, DC
• David R Wiercisiewski, MD
• Doris Elisabeth Wiese, PT
• Bradley David Wiest
• Alexandria Elizabeth Wiezbiski, M.S., CCC-SLP
• Meeta Wig, M.D.
• Lisa Wigfall, LCASA
• Adrienne Elizabeth Wiggins-Metcalf, MD
• Anne Wiggins, LCSWA
• Bailey Wiggins, DPT

• Prosthetic/Orthotic Supplier in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.