BRADLEY DAVID WIEST (NPI# 1629395017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629395017 |
| Entity Type | Individual |
| Full Name | BRADLEY DAVID WIEST |
| Practice Address |
8912 Blakeney Professional Dr Suite 100 Charlotte NC 28277-6660 |
| Mailing Address |
3533 Arborhill Rd Charlotte NC 28270-2273 |
| Practice Telephone | 7045445353 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4079 | NC | Chiropractic Providers |
| Street Address |
8912 BLAKENEY PROFESSIONAL DR SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-6660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558338384 | Yusuf Boyd | Specialist/Technologist | 8912 Blakeney Professional Dr, Suite 100, Charlotte, NC 28277-6734 | 2006-03-01 |
| 1134740392 | Anna Rae Lipocky | Chiropractor | 8912 Blakeney Professional Dr, Charlotte, NC 28277-6734 | 2020-04-29 |
| 1669907317 | Robert R Haglund Jr Dmd, Mds,ii,pa | Dentist | 8912 Blakeney Professional Dr, Suite 300, Charlotte, NC 28277-6734 | 2017-05-01 |
| 1952783433 | Emilie Pashley | Physical Therapist | 8912 Blakeney Professional Dr, Ste 100, Charlotte, NC 28277-6735 | 2015-06-22 |
| 1467885897 | Zachary K Long | Physical Therapist | 8912 Blakeney Professional Dr, Suite 100, Charlotte, NC 28277-6734 | 2013-08-21 |
| 1902034846 | Carolina Sports Chiropractic Pllc | Chiropractor | 8912 Blakeney Professional Dr, Suite 100, Charlotte, NC 28277-6660 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001776 | Abigail Plowcha | Chiropractor | 4818 Charlton Ln, Charlotte, NC 28210-2705 | 2020-10-22 |
| 1821602707 | Jose Cruz Troche | Chiropractor | 6253 South Blvd, Charlotte, NC 28217-4440 | 2020-09-08 |
| 1386268233 | Alison Day | Chiropractor | 1533 Pecan Ave, Charlotte, NC 28205-3415 | 2020-06-05 |
| 1881218808 | Evolve Health & Wellness, Pllc | Chiropractor | 3533 Providence Manor Rd, Charlotte, NC 28270-0794 | 2020-06-05 |
| 1306467196 | Lee Christopher Vang | Chiropractor | 6600 Touchwood Dr, Charlotte, NC 28227-8051 | 2020-05-03 |
| 1689200495 | Pannell Wellness Solutions Pllc | Chiropractor | 10716 Overlook Mountain Dr, Charlotte, NC 28216-7812 | 2020-03-13 |
| 1275168288 | Chirosagge, Pllc | Chiropractor | 5200 Park Rd Ste 102-b, Charlotte, NC 28209-3650 | 2020-03-10 |
| 1265064844 | Ka Bao Chang | Chiropractor | 6625 Pawnee Dr, Charlotte, NC 28214-2849 | 2020-02-11 |
| 1538703137 | Gg Chiropractic LLC | Chiropractor | 8811 Blakeney Professional Dr Ste 120, Charlotte, NC 28277-6599 | 2019-11-06 |
| 1205477502 | Family First Chiropractic and Acupuncture Pllc | Chiropractor | 6303 Carmel Rd Ste 101, Charlotte, NC 28226-8281 | 2019-10-08 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.