Bret Wickstrom

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4026 Issued in NC

Practice address

4320 E 10TH St
Suite G
Greenville, NC 27858-0838

Phone

(252) 758-7583

NPI assigned

Oct 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• I Heart My Spine LLC

  • Chiropractor
  • Greenville, NC
  • NPI 1932584067
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1972839645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 E 10TH ST",
            "address_2": "SUITE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278580838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 E 10TH ST",
            "address_2": "SUITE G",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278580838",
            "telephone_number": "252-758-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKSTROM",
        "first_name": "BRET",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Wellness Homecare LLC.
• Wholeness Wellness Homes LLC
• Stephen Anthony Wicher, RPH
• Vandala Wicker, COTA/L
• Holly Wickizer, BCBA
• Emily Louise Widrick
• Steven Mark Wieder
• Brian William Wiese, MS, ATC, LAT
• Jenny M. Wiggins, MSN, APRN, FNP-BC
• Gerald Braden Wiggs, MSN, FNP-C

• Chiropractor in Greenville, NC
• Providers in Greenville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.