Provider Demographics
NPI:1548212103
Name:HIGHTOWER, BRETT CARTER (DC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:CARTER
Last Name:HIGHTOWER
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 1:1705 PACIFIC DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-8106
Mailing Address - Country:US
Mailing Address - Phone:919-873-2225
Mailing Address - Fax:919-873-2220
Practice Address - Street 1:3030 WAKE FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7844
Practice Address - Country:US
Practice Address - Phone:919-873-2225
Practice Address - Fax:919-873-2220
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08383OtherBCBS PROVIDER#
NC604510OtherACN PROVDER#
NCU53998Medicare UPIN
NC2449140BMedicare ID - Type UnspecifiedMEDICARE PROVIDER #