Eric J Berseth, D.C.
Individual provider Active NPI Rehabilitation Chiropractor · Madison, IN
NPI 1003904210 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1003904210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 08001646 (IN)
- Practice address
- 2432 Clifty Dr
Madison, IN 47250-1636 - Phone
- (812) 265-1000
- Fax
- (812) 265-6994
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001646 | IN | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clifty Falls Chiropractic Center, P.S.C. | Current |
Accepting new patients |
Locations
2432 Clifty Dr
Madison, IN 47250
Phone (812) 265-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | 08001646 | IN | |
| Rehabilitation Chiropractor | 111NR0400X | 08001646 | IN | Yes |
Addresses
Primary practice location
2432 Clifty Dr
Madison, IN 47250-1636
Mailing address
2432 Clifty Dr
Madison, IN 47250-1636
Phone (812) 265-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200095140 | Medicaid | IN |
Other providers in Madison, IN
- Stephanie Anne Barr
- Sherry Bear
- Michael Z Bechard
- L. Barrett Bernard
- Susan M Berns
- Bethany Cares Home Health Services Inc
- Bevli Holdings LLC
- Ravinder P. S Bevli
- Bio-Medical Applications of Indiana, Inc.
- Bionic Prosthetics and Orthotics Group LLC
All providers in Madison, IN · Rehabilitation Chiropractor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.