Individual provider Active NPI

Bernard William Schemmel Jr., D.C.

  • Chiropractor
  • Cary, NC
National Provider Identifier
1457459588
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2936 Issued in NC
Practice address
3550 NW Cary Pkwy
Suite 104
Cary, NC 27513-7409
Phone
(919) 460-1515
Fax
(919) 460-1979
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2936 NC Primary

Addresses

Primary practice location

3550 NW Cary Pkwy
Suite 104
Cary, NC 27513-7409

Mailing address

3550 NW Cary Pkwy
Suite 104
Cary, NC 27513-7409
Phone (919) 460-1515

Other identifiers 1

IdentifierTypeStateIssuer
085CNOtherNCBCBSNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000071 NC Practitioner - Chiropractic 5496832925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staker Chiropractic Center PCGroup PAC ID 6103909361, 3 clinicians

Practice addresses (Care Compare)

3550 N W Cary Pkwy
Suite 104
Cary, NC 27513-8444
Phone (919) 460-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2936NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Staker Chiropractic Center, P.C. Chiropractor CurrentSince Jul 11, 2002 Accepting new patients

Locations

3550 NW Cary Pkwy
Ste 104
Cary, NC 27513
Phone (919) 460-1515

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1457459588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 NW CARY PKWY",
            "address_2": "SUITE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275137409",
            "telephone_number": "919-460-1515",
            "fax_number": "919-460-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NW CARY PKWY",
            "address_2": "SUITE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275137409",
            "telephone_number": "919-460-1515",
            "fax_number": "919-460-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEMMEL",
        "first_name": "BERNARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "085CN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.