Individual provider Active NPI

Byron R Folwell, DC

  • Chiropractor
  • Parkersburg, WV
National Provider Identifier
1780785733
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
510 Issued in WV
Practice address
3211 Emerson Ave
Parkersburg, WV 26104-1715
Phone
(304) 485-9124
Fax
(304) 485-9127
NPI assigned
Sep 25, 2006
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 510 WV
Electrodiagnostic Medicine Physician 204R00000X 510 WV
Chiropractor 111N00000X 510 WV Primary

Addresses

Primary practice location

3211 Emerson Ave
Parkersburg, WV 26104-1715

Mailing address

3211 Emerson Ave
Parkersburg, WV 26104-1715
Phone (304) 485-9124

Other identifiers 2

IdentifierTypeStateIssuer
001710854OtherWABLUE CROSS/BLUE SHIELD
0131769000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000106 WV Practitioner - Chiropractic 6305913906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3211 Emerson Ave
Parkersburg, WV 26104-1715
Phone (304) 485-9124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
510WVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Folwell Chiropractic Clinic, Inc. Chiropractor CurrentSince Apr 6, 1992 Accepting new patients
Mountaineer Chiropractic, P.L.L.C. Chiropractor PastSince Apr 6, 1992 Accepting new patients

Locations

3211 Emerson Ave
Parkersburg, WV 26104
Phone (304) 422-9600

Organizations & group practices 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1780785733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041715",
            "telephone_number": "304-485-9124",
            "fax_number": "304-485-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041715",
            "telephone_number": "304-485-9124",
            "fax_number": "304-485-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLWELL",
        "first_name": "BYRON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WV",
            "license": "510",
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "WV",
            "license": "510",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001710854",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131769000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.