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MR. TIMOTHY S BANNON DC
NPI 1972613750
Chiropractor in Gastonia, NC

Active since August 30, 2006
411 E FRANKLIN BLVD, GASTONIA, NC 28054(704) 864-7774(704) 810-8998 Get Directions Write a Review

NPPES record last updated: January 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Timothy S Bannon Dc NPPES

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

MR. TIMOTHY S BANNON DC (NPI 1972613750) is an individual chiropractor in Gastonia, North Carolina, licensed in North Carolina (200001321211) and active in the NPI registry since August 2006. He is a graduate of Palmer College Chiropractic - West Sunnyvale (1998).

NPPES Registry Identity

NPI1972613750
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. TIMOTHY S BANNONCredential: DC
Location Address411 E FRANKLIN BLVDGastonia, NC 28054-7152
Mailing Address411 E Franklin BlvdGastonia, NC 28054-7152 · (704) 864-7774 · Fax (704) 810-8998
Phone(704) 864-7774
Fax(704) 810-8998
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1998
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 28, 2015
✔ NPI 1972613750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 200001321211
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.
411 E FRANKLIN BLVD, Gastonia, NC 28054
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Other Identifiers 3

Medicare ID-Type Unspecified2456328
Medicaid890842VNC
Medicare UPINU76374

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, 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 (PECOS)

Mr. Timothy S Bannon Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032234042
PECOS Enrollment IDI20100914001299

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 Timothy Bannon's NPI number?

The NPI number for Timothy Bannon is 1972613750. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Timothy Bannon located?

Timothy Bannon practices at 411 E Franklin Blvd, Gastonia, NC 28054. The listed phone number is (704) 864-7774.

What is Timothy Bannon's specialty?

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

Is Timothy Bannon enrolled in Medicare?

Yes. Timothy Bannon is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Bannon accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Timothy Bannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Bannon was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.