Fulcrum Osteopathic Wellness, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

37584 DO Issued in SC

Legal business name

FULCRUM OSTEOPATHIC WELLNESS, LLC

Practice address

4006 E North St
Suite C
Greenville, SC 29615-2347

Phone

(864) 417-5255

NPI assigned

Jun 14, 2016

Last updated

Jun 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Jane Bowers, D.O.NPI 1366720369

Title

Sole Proprieter

Phone

(864) 417-5255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca J Bowers, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Greenville, SC
  • NPI 1366720369
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1780034470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LYTLE ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502724",
            "telephone_number": "864-417-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 E NORTH ST",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152347",
            "telephone_number": "864-417-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCRUM OSTEOPATHIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "864-417-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "37584 DO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FSL Greenville SC Tenant LLC
• Nicholas Harrison Fuerst, M.D.
• Yuka Fujii, MD
• James William Fulcher, MD
• John Hampton Fulcher, MD
• Yakeia Fullenwinder
• Tanya Fuller-Pellin, FNP
• Audrey Beatrice Fuller, REGISTERED DIETITIAN
• Brittany Regine Fuller
• Catherine Anne Garrett Fuller, CRNA

• Medical Specialty Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.