Woodard Wellness Group LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038003887 Issued in IL

Legal business name

WOODARD WELLNESS GROUP LLC

Practice address

1245 E Walnut St
Carbondale, IL 62901-5005

Phone

(618) 529-4545

Fax

(618) 529-2822

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian E Woodard, D.C.NPI 1205914181

Title

President

Phone

(618) 529-4545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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.

• Brian E Woodard, D.C.

  • Chiropractor
  • Carbondale, IL
  • NPI 1205914181
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1891856308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 E WALNUT ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015005",
            "telephone_number": "618-529-4545",
            "fax_number": "618-529-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E WALNUT ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015005",
            "telephone_number": "618-529-4545",
            "fax_number": "618-529-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODARD WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-529-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolz Health, Inc
• Alyson G Wolz, APRN, CNS, BC
• John F Wood, O.D.
• Julie H Wood, O.D.
• Stephanie Victoria Wood, R.D.
• Brian E Woodard, D.C.
• Zachary Woosley, MA, LCPC
• Motaz R Wraikat, DO
• Amber Nicole Wright
• Amy M Wyatt, DMD

• Chiropractor in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.