Provider Demographics
NPI:1457459588
Name:SCHEMMEL, BERNARD WILLIAM JR (DC)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:WILLIAM
Last Name:SCHEMMEL
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3550 NW CARY PKWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-7409
Mailing Address - Country:US
Mailing Address - Phone:919-460-1515
Mailing Address - Fax:919-460-1979
Practice Address - Street 1:3550 NW CARY PKWY
Practice Address - Street 2:SUITE 104
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-7409
Practice Address - Country:US
Practice Address - Phone:919-460-1515
Practice Address - Fax:919-460-1979
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085CNOtherBCBSNC
NCU88271Medicare UPIN
NC2454242Medicare ID - Type Unspecified