Individual provider Active NPI

Brian E Hudak, D.C.

  • Chiropractor
  • Washington, NC
National Provider Identifier
1699728717
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3888 Issued in NC
Practice address
906 W 15TH St
Washington, NC 27889-3533
Phone
(252) 948-2225
Fax
(252) 974-7607
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00648000 NJ
Chiropractor 111N00000X 3888 NC Primary

Addresses

Primary practice location

906 W 15TH St
Washington, NC 27889-3533

Mailing address

906 W 15TH Street
Washington, NC 27889-1209
Phone (252) 948-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000688 NC Practitioner - Chiropractic 0547318396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Spine and Injury PCGroup PAC ID 2062881030, 2 clinicians

Practice addresses (Care Compare)

1008 Big Oak CT
Suite a
Knightdale, NC 27545-6566
Phone (919) 266-6416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3888NCMDAddiction (Substance Use Disorder) Counselor
38MC00648000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Spine and Injury PC Chiropractor CurrentSince Sep 4, 2024 Accepting new patients
Washington Wellness, PLLC CurrentSince Aug 20, 2010 Accepting new patients
Washington Chiropractic Group, PC Chiropractor Past Accepting new patients
Brown Chiropractic Group PC Chiropractor Past Accepting new patients

Locations

1008 Big Oak Ct
Ste A
Knightdale, NC 27545
Phone (919) 266-6416

906 W 15th St
Washington, NC 27889
Phone (252) 946-7145

Organizations & group practices 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1699728717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W 15TH STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278891209",
            "telephone_number": "252-948-2225",
            "fax_number": "252-974-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893533",
            "telephone_number": "252-948-2225",
            "fax_number": "252-974-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00648000",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.