Individual provider Active NPI

Bryce Willian, DC

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1821808205
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5854 Issued in NC
Practice address
8515 Falls of Neuse Rd
Raleigh, NC 27615-3513
Phone
(919) 582-7000
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5854 NC Primary

Addresses

Primary practice location

8515 Falls of Neuse Rd
Raleigh, NC 27615-3513

Mailing address

336 Friendship Chapel Rd
Wake Forest, NC 27587-7388
Phone (229) 854-4632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250306002948 NC Practitioner - Chiropractic 1052832086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Clinic of NC PCGroup PAC ID 8921350711, 5 clinicians

Practice addresses (Care Compare)

8515 Falls of Neuse Rd
Raleigh, NC 27615-3513
Phone (919) 582-7057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5854NCMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC CurrentSince Jan 6, 2025 Accepting new patients
Life Clinic of NC PC Chiropractor CurrentSince Jan 6, 2025 Accepting new patients

Locations

8515 Falls of Neuse Rd
Raleigh, NC 27615
Phone (919) 582-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1821808205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FRIENDSHIP CHAPEL RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877388",
            "telephone_number": "229-854-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153513",
            "telephone_number": "919-582-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAN",
        "first_name": "BRYCE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.