MEDICARE: DR. BRETT CARTER HIGHTOWER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2106	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08383	OTHER	NC	BCBS PROVIDER#
2	604510	OTHER	NC	ACN PROVDER#

General Provider Information

NPI Number	:	1548212103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT CARTER HIGHTOWER D.C.

Provider Business Mailing Address
First Line	:	1705 PACIFIC DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-8106
Country	:	US
Telephone Number	:	919-873-2225
Fax Number	:	919-873-2220

Provider Business Practice Location Address
First Line	:	3030 WAKE FOREST RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7844
Country	:	US
Telephone Number	:	919-873-2225
Fax Number	:	919-873-2220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	11/18/2016

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