DR. FRED C. NELSON D.C., C.C.S.P.
NPI 1316979495
Chiropractor - Sports Physician in Wake Forest, NC

Active since July 07, 2006
10405 LIGON MILL RD STE F, WAKE FOREST, NC 27587(919) 556-2014(919) 556-0996 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fred C. Nelson D.c., C.c.s.p. NPPES

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

DR. FRED C. NELSON D.C., C.C.S.P. (NPI 1316979495) is an individual sports physician in Wake Forest, North Carolina, licensed in North Carolina (1075) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1316979495
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. FRED C. NELSONCredential: D.C., C.C.S.P.
Location Address10405 LIGON MILL RD STE FWake Forest, NC 27587-5013
Mailing Address10405 Ligon Mill Rd Ste FWake Forest, NC 27587-5013 · (919) 556-2014 · Fax (919) 556-0996
Fax(919) 556-0996
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316979495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in NC · 1075
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
10405 LIGON MILL RD STE F, Wake Forest, NC 27587

Other Identifiers 7

Other666372NC · Acn
Medicaid8908664NC
Other08664NC · Blue Cross Blue Shield Nc
Other2343112NC · Aetna/hmo
Medicare UPINT64335NC
Medicare ID-Type Unspecified244270BNC
Other4455933NC · Aetna/non-hmo

Other Providers at the Same Location NPPES 2

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

Chiropractor
10405 LIGON MILL RD STE F
WAKE FOREST, NC 27587
Chiropractor
10405 LIGON MILL RD STE F
WAKE FOREST, NC 27587

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 Fred Nelson's NPI number?

The NPI number for Fred Nelson is 1316979495. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Fred Nelson located?

Fred Nelson practices at 10405 Ligon Mill Rd Ste F, Wake Forest, NC 27587. The listed phone number is (919) 556-2014.

What is Fred Nelson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Fred Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.