Charles Brandon Byers, DC

Individual provider Active NPI Chiropractor · Mocksville, NC

NPI 1669586335 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1669586335
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2649 (NC)
Practice address
501 Wilkesboro St
Mocksville, NC 27028-2031
Phone
(336) 751-2512
Fax
(336) 751-0769
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Logan College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Wilkesboro St
Mocksville, NC 27028-2031
Phone (336) 751-2512

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031203000628 NC Practitioner - Chiropractic 1254236292 Practice locations: Mocksville, NC

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Byers Enterprises, LLC Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2649 NC Yes

Addresses

Primary practice location

501 Wilkesboro St
Mocksville, NC 27028-2031

Mailing address

501 Wilkesboro St
Mocksville, NC 27028-2031
Phone (336) 751-2512

Other identifiers

IdentifierTypeStateIssuer
890837AMedicaidNC

Other providers in Mocksville, NC

All providers in Mocksville, NC · Chiropractor in North Carolina

Sources for this page

Verify at the official NPI Registry.