PEACOCK-BETTENDORF, LLC
NPI 1134236078
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Wilmington, NC
NPI Status: Active since August 24, 2006
Contact Information
2208 S 17TH ST
SECOND FLOOR
WILMINGTON, NC
ZIP 28401
Phone: (910) 251-6755
Fax: (910) 458-8619
NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Physical Medicine & Rehabilitation
- Spinal Cord Injury Medicine
- Accepts Insurance
About PEACOCK-BETTENDORF, LLC
This page provides the complete NPI Profile along with additional information for Peacock-bettendorf, Llc, a provider established in Wilmington, North Carolina operating as a Physical Medicine & Rehabilitation, focusing in spinal cord injury medicine . The healthcare provider is registered in the NPI registry with number 1134236078 assigned on August 2006. The practitioner's primary taxonomy code is 2081P0004X with license number 9400419 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Anna Peacock Bettendorf M.d. (Member/manager)
- NPI
- 1134236078
- Provider Name
- PEACOCK-BETTENDORF, LLC
- Entity Type
- Organization
- Location Address
- 2208 S 17TH ST SECOND FLOOR WILMINGTON, NC 28401
- Location Phone
- (910) 251-6755
- Location Fax
- (910) 458-8619
- Mailing Address
- PO BOX 15671 WILMINGTON, NC 28408
- Mailing Phone
- (910) 251-6755
- Mailing Fax
- (910) 458-8619
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Spinal Cord Injury Medicine
- Taxonomy Code
- 2081P0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 9400419
- License State
- NC
- Taxonomy Description
- A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130AX | OTHER (01) | NC | BLUE CROSS/BLUE SHIELD |
| 89130AX | MEDICAID (05) | NC |
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134236078, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
WILMINGTON, NC 28401
WILMINGTON, NC 28401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134236078, enumerated as an "organization" on August 24, 2006.
The provider is located at 2208 S 17TH ST SECOND FLOOR WILMINGTON, NC 28401 and the phone number is (910) 251-6755.
Physical Medicine & Rehabilitation with taxonomy code 2081P0004X and a focus in Spinal Cord Injury Medicine.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
