DR. BRET WICKSTROM
NPI 1972839645
Chiropractor in Greenville, NC

Active since October 30, 2009
4320 E 10TH ST, SUITE G, GREENVILLE, NC 27858(252) 758-7583 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bret Wickstrom NPPES

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

DR. BRET WICKSTROM (NPI 1972839645) is an individual chiropractor in Greenville, North Carolina, licensed in North Carolina (4026) and active in the NPI registry since October 2009. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1972839645
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRET WICKSTROM
Location Address4320 E 10TH ST, SUITE GGreenville, NC 27858-0838
Mailing Address4320 E 10th St, Suite GGreenville, NC 27858-0838
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 30, 2009
Last NPPES UpdateMay 29, 2013
NPI 1972839645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NC · 4026
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.
4320 E 10TH ST, Greenville, NC 27858

Accepted 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)

Dr. Bret Wickstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941504534
PECOS Enrollment IDI20160202000712

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 Bret Wickstrom's NPI number?

The NPI number for Bret Wickstrom is 1972839645. It was assigned to this individual provider in the NPPES registry on October 30, 2009.

Where is Bret Wickstrom located?

Bret Wickstrom practices at 4320 E 10th St Suite G, Greenville, NC 27858. The listed phone number is (252) 758-7583.

What is Bret Wickstrom's specialty?

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

Is Bret Wickstrom enrolled in Medicare?

Yes. Bret Wickstrom is registered in the Medicare PECOS enrollment system.

What insurance does Bret Wickstrom accept?

Health plans from Blue Cross and Blue Shield of NC list Bret Wickstrom 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 Bret Wickstrom was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.