Individual provider Active NPI

Tyler Roy Wilburn, DC

  • Chiropractor
  • Opelika, AL
National Provider Identifier
1326900812
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2923 Issued in AL
Practice address
2011 Gateway Dr
Opelika, AL 36801-6836
Phone
(334) 745-5321
NPI assigned
Dec 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2923 AL Primary

Addresses

Primary practice location

2011 Gateway Dr
Opelika, AL 36801-6836

Mailing address

2011 Gateway Dr
Opelika, AL 36801-6836
Phone (334) 745-5321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260120000383 AL Practitioner - Chiropractic 2466939640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1286 Oak Grove Rd
Suite 106
Birmingham, AL 35209-6929

2011 Gateway Dr
Opelika, AL 36801-6836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2923ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Herring Spine & Rehab, Inc. Chiropractor CurrentSince Dec 1, 2025 Accepting new patients

Locations

2011 Gateway Dr
Opelika, AL 36801
Phone (334) 745-5321

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1326900812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 GATEWAY DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016836",
            "telephone_number": "334-745-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 GATEWAY DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016836",
            "telephone_number": "334-745-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "TYLER",
        "middle_name": "ROY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.