1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Chiropractor
  6. NPI Profile

BRADLEY DAVID WIEST
NPI 1629395017
Chiropractor in Charlotte, NC

Active since April 26, 2010
8912 BLAKENEY PROFESSIONAL DR, SUITE 100, CHARLOTTE, NC 28277(704) 544-5353 Get Directions Write a Review

NPPES record last updated: April 26, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bradley David Wiest NPPES

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

BRADLEY DAVID WIEST (NPI 1629395017) is an individual chiropractor in Charlotte, North Carolina, licensed in North Carolina (4079) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1629395017
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBRADLEY DAVID WIEST
Location Address8912 BLAKENEY PROFESSIONAL DR, SUITE 100Charlotte, NC 28277-6660
Mailing Address3533 Arborhill RdCharlotte, NC 28270-2273
Phone(704) 544-5353
Sole ProprietorNo
Enumeration DateApril 26, 2010
✔ NPI 1629395017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 4079
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.
8912 BLAKENEY PROFESSIONAL DR, Charlotte, NC 28277
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley David Wiest is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Bradley Wiest reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolina Sports Chiropractic PLLC
Same address
Chiropractor
8912 BLAKENEY PROFESSIONAL DR, SUITE 100
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 19 clinicians in this Medicare group
NPI 1902034846 (704) 544-5353
Carolina Sports Clinic-Fort Mill,llc
9.1 mi
Chiropractor
985 MARKET ST, SUITE 201
Fort Mill, SC 29708
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1144605759 (704) 449-6601

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

Other Providers at the Same Location NPPES 7

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

ANNA RAE LIPOCKY DC
Chiropractor
8912 BLAKENEY PROFESSIONAL DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 544-5353
DR. ZACHARY K LONG DPT
Physical Therapist
8912 BLAKENEY PROFESSIONAL DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 301-1449
MR. YUSUF BOYD M.S., ATC, LAT, CKTP
Specialist/Technologist (Athletic Trainer)
8912 BLAKENEY PROFESSIONAL DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 490-4278
ROBERT R HAGLUND JR DMD, MDS,II,PA
Dentist (Endodontics)
8912 BLAKENEY PROFESSIONAL DR, SUITE 300
CHARLOTTE, NC 28277
Mecklenburg County (980) 833-1214
DR. ANDREW JONATHAN ROLAND D.C.
Chiropractor
8912 BLAKENEY PROFESSIONAL DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 544-5382
CAROLINA SPORTS CHIROPRACTIC PLLC
Chiropractor
8912 BLAKENEY PROFESSIONAL DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 544-5353
EMILIE PASHLEY PT
Physical Therapist
8912 BLAKENEY PROFESSIONAL DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 544-5353

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 Bradley Wiest's NPI number?

The NPI number for Bradley Wiest is 1629395017. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Where is Bradley Wiest located?

Bradley Wiest practices at 8912 Blakeney Professional Dr Suite 100, Charlotte, NC 28277. The listed phone number is (704) 544-5353.

What is Bradley Wiest's specialty?

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

Is Bradley Wiest enrolled in Medicare?

Yes. Bradley Wiest is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bradley Wiest's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Wiest reassigns Medicare benefits to 2 organizations: Carolina Sports Chiropractic PLLC (Charlotte, NC) and Carolina Sports Clinic-Fort Mill,llc (Fort Mill, SC). Each 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 Bradley Wiest's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bradley Wiest was last updated on April 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.