Peacock-Bettendorf, LLC
NPI 1134236078 · Spinal Cord Injury Medicine Physician · Wilmington, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peacock-Bettendorf, LLC is a Spinal Cord Injury Medicine Physician organization in Wilmington, NC (NPI 1134236078).
Provider details
- NPI number
- 1134236078
- Entity type
- Organization
- Primary specialty
- Spinal Cord Injury Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anna Bettendorf, Member/Manager(910) 458-8616
- License
- 9400419 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Peacock-Bettendorf, LLC's NPI number?
- Peacock-Bettendorf, LLC's National Provider Identifier (NPI) is 1134236078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peacock-Bettendorf, LLC?
- Peacock-Bettendorf, LLC is classified in the NPPES registry as Spinal Cord Injury Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Peacock-Bettendorf, LLC located?
- Peacock-Bettendorf, LLC's practice location on file with NPPES is 2208 S 17th St, Wilmington, NC 28401-7515.
- What is Peacock-Bettendorf, LLC's phone number?
- The practice phone number listed in the NPPES registry for Peacock-Bettendorf, LLC is (910) 251-6755.
- Does Peacock-Bettendorf, LLC accept Medicare?
- Peacock-Bettendorf, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peacock-Bettendorf, LLC?
- The authorized official listed on Peacock-Bettendorf, LLC's NPPES record is Anna Bettendorf, Member/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peacock-Bettendorf, LLC's NPI active?
- Yes — Peacock-Bettendorf, LLC's NPI (1134236078) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.