Provider Demographics
NPI:1376515981
Name:SWINDLER, BARRY P (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:P
Last Name:SWINDLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 S MAIN ST STE 508
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-5008
Mailing Address - Country:US
Mailing Address - Phone:919-349-9413
Mailing Address - Fax:
Practice Address - Street 1:2012 S MAIN ST STE 508
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-5008
Practice Address - Country:US
Practice Address - Phone:919-349-9413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085HHMedicaid
NC5902313Medicaid
NC2348894Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NCU91471Medicare UPIN
NC2455338AMedicare ID - Type UnspecifiedMEDICARE INDIVIDULA NUMBE