Russell D Edgar, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2207 Issued in NC

Practice address

6934 Beach Dr SW
Suite 2
Ocean Isle Beach, NC 28469-5797

Phone

(910) 575-7809

Fax

(910) 575-7810

NPI assigned

Mar 16, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coastal Breeze Chiropractic

  • Chiropractor
  • Ocean Isle Beach, NC
  • NPI 1154490688
  NPD (past) Authorized official
• Stroud Chiropractic PLLC

  • Chiropractor
  • Archdale, NC
  • NPI 1821045071
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366411720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6931",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284690931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 BEACH DR SW",
            "address_2": "SUITE 2",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695797",
            "telephone_number": "910-575-7809",
            "fax_number": "910-575-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "RUSSELL",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908776",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Regional Health Network
• Nicole Cumbee, DPT
• Jennifer L Deluca-Stafford, DC
• Anjani Di Bello
• Eric Divenanzo, PHARMD
• Evolve Behavior Therapy LLC
• Abigail Elaine Gruneisen, DDS
• Edmund A. Gunther, O.D.
• Tamala Jane Hartsell, RPH.
• Elliot Hernandez, PT, DPT

• Chiropractor in Ocean Isle Beach, NC
• Providers in Ocean Isle Beach, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.