B.L. BLACK CLINIC OF CHIROPRACTIC
NPI 1255624136
Chiropractor in Mt Pleasant, SC

Active since May 25, 2011
1350 CHUCK DAWLEY BLVD, MT PLEASANT, SC 29464(843) 884-3506(843) 856-0912 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About B.l. Black Clinic Of Chiropractic NPPES

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

B.L. BLACK CLINIC OF CHIROPRACTIC (NPI 1255624136) is a healthcare organization registered as a chiropractor in Mt Pleasant, South Carolina and active in the NPI registry since May 2011. The organization lists Matthew R Wurst, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1255624136
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWURST CHIROPRACTIC CENTER
Location Address1350 CHUCK DAWLEY BLVDMt Pleasant, SC 29464-3380
Mailing Address1350 Chuck Dawley BlvdMt Pleasant, SC 29464-3380 · (843) 884-3506 · Fax (843) 856-0912
Fax(843) 856-0912
Organization SubpartNo
Authorized OfficialMatthew R WurstOwner/doctor · (843) 884-3506
Enumeration DateMay 25, 2011
✔ NPI 1255624136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 2276
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.
1350 CHUCK DAWLEY BLVD, Mt Pleasant, SC 29464

Other Names 1

Doing Business AsB.l. Black Clinic Of Chiropractic

Other Identifiers 1

OtherU767900281SC · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

B.l. Black Clinic Of Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to B.L. Black Clinic Of Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1801954235
1350 CHUCK DAWLEY BLVD LEASANT
Mt Pleasant, SC 29464
(843) 884-3506
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wurst Chiropractic Center's NPI number?

The NPI number for Wurst Chiropractic Center is 1255624136. It was assigned to this organization in the NPPES registry on May 25, 2011. The provider is doing business as B.L. Black Clinic Of Chiropractic.

Where is Wurst Chiropractic Center located?

Wurst Chiropractic Center is located at 1350 Chuck Dawley Blvd, Mt Pleasant, SC 29464. The listed phone number is (843) 884-3506.

What is Wurst Chiropractic Center's specialty?

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

Is Wurst Chiropractic Center enrolled in Medicare?

Yes. Wurst Chiropractic Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wurst Chiropractic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wurst Chiropractic Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wurst Chiropractic Center was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.