Christopher A Wilderman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008175 Issued in IL

Practice address

2416 Bloomer Dr
Alton, IL 62002-4809

Phone

(618) 433-8913

Fax

(618) 433-8915

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Wilderman Chiropractic Center Inc

  • Chiropractor
  • Alton, IL
  • NPI 1780039586
  Medicare reassignment NPD
• Bemis Tupman Chiropractic LLC

  • Chiropractor
  • Alton, IL
  • NPI 1003462417
  NPD (past)
• Healing Institute, LLC

  • Internal Medicine Physician
  • Alton, IL
  • NPI 1902063266
  NPD (past)
• Parkway Physical Therapy LLC

  • Physical Therapist
  • Alton, IL
  • NPI 1922343219
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1548296510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 BLOOMER DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024809",
            "telephone_number": "618-433-8913",
            "fax_number": "618-433-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 BLOOMER DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024809",
            "telephone_number": "618-433-8913",
            "fax_number": "618-433-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDERMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4404400",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "6082010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CORSS BLUE SHEILD MO",
            "identifier": "116888",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008175",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AEATNA HEALTHCARE",
            "identifier": "5718545",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "325539",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALLIANCE",
            "identifier": "10481T1",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina White
• Marissa Whiteside
• Melanie Jo Whitmore
• Tiara La'Shay Wilburn
• Wilderman Chiropractic Center Inc
• Bridget A Wilke, BSN,RN
• Dena L Williams, MSN, APRN, FNP-BC
• Jasmine M Williams, CHWC, CD(DONA)
• Leslie Williams
• Marie Williams, BA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.