DR. MICHAEL BERNARD WILDER D.C.
NPI 1033286042
Chiropractor in Santa Rosa, CA

Q: What is Michael Wilder's NPI number?

The NPI number for Michael Wilder is 1033286042. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Michael Wilder's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Wilder was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 29, 2006Accepts Medicare Assignment

144 STONY POINT RD, SANTA ROSA, CA 95401(707) 521-4685(707) 526-1016 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Mar 13, 2020 (2 updates tracked since 2020).

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About Dr. Michael Bernard Wilder D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL BERNARD WILDER D.C. (NPI 1033286042) is an individual chiropractor in Santa Rosa, California, licensed in California (DC28603) and active in the NPI registry since November 2006. He maintains a secondary practice location in Point Arena and is a graduate of Palmer College Chiropractic - West Sunnyvale (2022).

NPPES Registry Identity

NPI1033286042

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. MICHAEL BERNARD WILDERCredential: D.C.

Location Address144 STONY POINT RDSanta Rosa, CA 95401-4122

Mailing Address144 Stony Point RdSanta Rosa, CA 95401-4122 · (707) 521-4500 · Fax (707) 526-1016

Phone(707) 521-4685

Fax(707) 526-1016

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2022

Enumeration DateNovember 29, 2006

Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1033286042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC28603

Definition

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.

144 STONY POINT RD, Santa Rosa, CA 95401

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Secondary Practice Location 1

Location 110A mamie laiwapoint arena, CA 95468-0623 · Phone (707) 882-2877 · Fax (707) 882-2880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Bernard Wilder D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749627511

PECOS Enrollment IDI20240328002166

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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