Active NPI
Winfred Darrell Petrey, D.C.
- Chiropractor
- Mobile, AL
National Provider Identifier
1700068731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1648
- Practice address
- 1516 Schillinger Rd S
Mobile, AL 36695-8933 - Phone
- (251) 635-1224
- Fax
- (251) 635-0911
- NPI assigned
- Nov 30, 2007
- Last updated
- Mar 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104395 | KS | |
| Chiropractor | 111N00000X | 1648 | AL | Primary |
Addresses
Primary practice location
1516 Schillinger Rd S
Mobile, AL 36695-8933
Mailing address
1516 Schillinger Rd S
Mobile, AL 36695-8933
Phone (251) 635-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104395 | KS | MD | Chiropractor |
| 1648 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petrey Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
1516 Schillinger Rd S
Mobile, AL 36695
Phone (251) 635-1224
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1700068731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 SCHILLINGER RD S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366958933",
"telephone_number": "251-635-1224",
"fax_number": "251-635-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 SCHILLINGER RD S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366958933",
"telephone_number": "251-635-1224",
"fax_number": "251-635-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETREY",
"first_name": "WINFRED",
"middle_name": "DARRELL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0104395",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.