Valley Physical Medicine PA
NPI 1629428883ActiveOrganization· General Practice· Fayetteville, NC
General Practice in Fayetteville, North Carolina, registered in NPPES in June 2016. The authorized official on file is Brandt Wood, DO, Owner. Enrolled in Medicare as dme supplier - physician - family practice and part b supplier - clinic/group practice.
Overview
| NPI | 1629428883 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2016 |
| Last updated in NPPES | Sep 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Family Practice (NC); Part B Supplier - Clinic/Group Practice (NC) |
|---|
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