Provider Demographics
NPI:1881345460
Name:WALKER, BRIAN PHILIP (DC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:PHILIP
Last Name:WALKER
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 1:141 CHATHAM DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-6118
Mailing Address - Country:US
Mailing Address - Phone:919-969-0931
Mailing Address - Fax:919-969-0933
Practice Address - Street 1:2035 RENAISSANCE PARK PL
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2263
Practice Address - Country:US
Practice Address - Phone:919-694-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2024-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor