MR. BRIAN LYNN WIGGEN II II (NPI# 1821266230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821266230 |
Entity Type | Individual |
Full Name | MR. BRIAN LYNN WIGGEN II II |
Credential | CO. BOCO |
Practice Address |
107 East Walker St East Flat Rock NC 28726 |
Mailing Address |
107 East Walker St. East Flat Rock NC 28726 |
Practice Telephone | 8285959371 |
Practice Fax Number | 8285959373 |
Mailing Telephone | 8285959371 |
Mailing Fax Number | 8285959373 |
Enumeration Date | 2008-02-19 |
Last Update Date | 2013-03-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
107 EAST WALKER ST |
City | EAST FLAT ROCK |
State | NC |
Zip Code | 28726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174827398 | Kelly Roberts Wiggen | Orthotic Fitter | 107 East Walker Street, East Flat Rock, NC 28726 | 2011-01-03 |
1801028378 | Michael Weston Huskey | Orthotist | 107 East Walker St., East Flat Rock, NC 28726 | 2009-08-18 |
1013543446 | Tia Nicole Rudisill | Home Health Aide | 82 Johnnie Washington Dr, East Flat Rock, NC 28726-0280 | 2020-03-17 |
1740310051 | Vocational Solutions of Henderson County | Day Training, Developmentally Disabled Services | 2110 Spartanburg Hwy, East Flat Rock, NC 28726-2135 | 2007-03-06 |
1518331883 | Michael James Tui II | Counselor | 128 Upward Acres St, East Flat Rock, NC 28726-2234 | 2015-11-24 |
1447276639 | Footlogic, Inc. | Specialist | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2006-07-14 |
1770130551 | Level Four Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2019-08-26 |
1710221197 | Western Carolina O & P | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2012-11-26 |
1871125088 | Amy Bracken, Pllc | Occupational Therapist | 212 S Hillandale Dr, East Flat Rock, NC 28726-2610 | 2020-02-05 |
1871873422 | Family Preservation Services of North Carolina, LLC Flat Rock Middle | Community/Behavioral Health | 191 Preston Ln, East Flat Rock, NC 28726-2865 | 2011-08-26 |
Find all providers in zip 28726 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801028378 | Michael Weston Huskey | Orthotist | 107 East Walker St., East Flat Rock, NC 28726 | 2009-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720603442 | Alan Kur | Orthotist | 508 Small Dr, Elizabeth City, NC 27909-9498 | 2020-06-09 |
1497386452 | Kaddie Surratt | Orthotist | 400 Meadowmont Village Cir Ste 425, Chapel Hill, NC 27517-7505 | 2020-01-29 |
1386288298 | Limbionics of Goldsboro, Inc. | Orthotist | 2103 Wayne Memorial Dr Ste B, Goldsboro, NC 27534-1721 | 2019-11-04 |
1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
1790346559 | Alexander Hedquist | Orthotist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2019-06-24 |
1558856450 | Jason Pantages | Orthotist | 200 Timberhill Pl Unit 203, Chapel Hill, NC 27514-1964 | 2018-06-25 |
1326530809 | Zoe Butler | Orthotist | 5007 Southpark Dr Ste 110, Durham, NC 27713-7739 | 2018-05-31 |
1407350507 | Performance Footcare | Orthotist | 2024 Randolph Rd, Charlotte, NC 28207-1216 | 2018-03-22 |
1437660834 | Christos George Lemonis | Orthotist | 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 | 2017-10-12 |
1871003616 | Andrew Humann | Orthotist | 715 Fairgrove Church Rd Se Ste 203, Conover, NC 28613-9289 | 2017-10-06 |
Find all providers with the same taxonomy |
City | EAST FLAT ROCK |
Zip Code | 28726 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.