DR. BRET WICKSTROM
NPI 1972839645
Chiropractor in Greenville, NC
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Bret Wickstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bret Wickstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, NC 27858
- Reassigned Medicare billing, North Carolina enrollment
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 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.
Which organization bills Medicare for Bret Wickstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bret Wickstrom reassigns Medicare benefits to I Heart My Spine LLC (Greenville, NC). The 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 Bret Wickstrom'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 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.
# Dr. Bret Wickstrom · NPI 1972839645
Chiropractor provider in Greenville, North Carolina. Individual provider, active in the CMS NPPES registry since October 30, 2009.
## Identity
- **NPI:** 1972839645 (Entity type: Individual)
- **Enumerated:** October 30, 2009
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4026 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4320 E 10TH ST, SUITE G, Greenville, NC 27858-0838
- **Phone:** (252) 758-7583
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** I Heart My Spine LLC (NPI 1932584067, Greenville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 29, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1972839645) · Data from the CMS NPPES public registry.