Organization provider

PEACOCK-BETTENDORF, LLC

Spinal Cord Injury Medicine Physician Medicare enrolled

PEACOCK-BETTENDORF, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1134236078, based in Wilmington, NC. It is classified under Spinal Cord Injury Medicine Physician.

Getting there

The practice address on file is 2208 S 17TH ST SECOND FLOOR, Wilmington, NC 28401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2208 S 17TH ST SECOND FLOOR, Wilmington, NC 28401 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9400419 NC Spinal Cord Injury Medicine Physician primary

This provider holds licence 9400419 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
7214957257
Enrollment ID
O20051206000035

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Spinal Cord Injury Medicine covers

A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. NUCC Health Care Provider Taxonomy, code 2081P0004X
Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Spinal Cord Injury Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1134236078 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 24, 2006
Last updatedAug 22, 2020
StatusActive
Practice address 2208 S 17TH ST
SECOND FLOOR
Wilmington, NC 28401
(910) 251-6755
Fax (910) 458-8619
Mailing address PO BOX 15671
Wilmington, NC 28408
Other identifiers 130AX · Other (NC)
89130AX · Medicaid (NC)
The last update on file is Aug 22, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1134236078 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 3 4 2 3 6 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 6 4 4 3 3 0 5

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1134236078?
NPI 1134236078 is the National Provider Identifier assigned to PEACOCK-BETTENDORF, LLC in Wilmington, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Spinal Cord Injury Medicine cover?
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical…
How do I contact PEACOCK-BETTENDORF, LLC?
The phone number on file with NPPES is (910) 251-6755, last updated Aug 22, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PEACOCK-BETTENDORF, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1134236078 a valid number?
Yes. 1134236078 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.