Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Michael Baucom, DPT

Individual provider Physical Therapist · NPI 1619062684

Brian Michael Baucom, DPT is a Physical Therapist in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1717 Shipyard Blvd Ste 320
Wilmington, NC 28403-8023
Phone: (910) 791-0396
Fax: (910) 791-0818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10787 (NC)

Record details

NPI number1619062684
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESSeptember 3, 2009

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