Provider Demographics
NPI:1669431961
Name:WARD, BRIAN CHRISTOPHER (MPT)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:CHRISTOPHER
Last Name:WARD
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5476 APEX PEAKWAY
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3924
Mailing Address - Country:US
Mailing Address - Phone:919-626-9799
Mailing Address - Fax:
Practice Address - Street 1:5476 APEX PEAKWAY
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-3924
Practice Address - Country:US
Practice Address - Phone:919-626-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7944225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00439813OtherMEDICARE RAILROAD
NC078RVOtherBLUE CROSS
NC7211479Medicaid
195865OtherMEDCOST
7590420OtherAETNA
2509255AMedicare PIN
NCP00439813OtherMEDICARE RAILROAD
195865OtherMEDCOST