Organization Active NPI

Kerry V Bertschinger DC

  • Chiropractor
  • Martinsburg, WV
National Provider Identifier
1003540428
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KERRY V BERTSCHINGER DC
Practice address
9763 Tuscarora Pike
Martinsburg, WV 25403-1000
Phone
(304) 263-6953
Fax
(304) 263-2178
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent V Bertschinger, DCNPI 1306340724
Title
Director of Operations
Phone
(304) 263-6953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9763 Tuscarora Pike
Martinsburg, WV 25403-1000

Mailing address

9763 Tuscarora Pike
Martinsburg, WV 25403-1000
Phone (304) 263-6953

Other names 1

  • Bertschinger Clinic of Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221031001359 WV Part B Supplier - Clinic/Group Practice 9032586391 Receives reassigned benefits from 2 practitioners
Practice locations: Martinsburg, WV

National Provider Directory

National Provider Directory

Locations

9763 Tuscarora Pike
Martinsburg, WV 25403
Phone (304) 263-6953

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1003540428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9763 TUSCARORA PIKE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031000",
            "telephone_number": "304-263-6953",
            "fax_number": "304-263-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9763 TUSCARORA PIKE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031000",
            "telephone_number": "304-263-6953",
            "fax_number": "304-263-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY V BERTSCHINGER DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BERTSCHINGER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "304-263-6953",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bertschinger Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.