Individual provider Active NPI

Eric J Berseth, D.C.

  • Rehabilitation Chiropractor
  • Madison, IN
National Provider Identifier
1003904210
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
08001646 Issued in IN
Practice address
2432 Clifty Dr
Madison, IN 47250-1636
Phone
(812) 265-1000
Fax
(812) 265-6994
NPI assigned
Oct 11, 2006
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X 08001646 IN
Rehabilitation Chiropractor 111NR0400X 08001646 IN Primary

Addresses

Primary practice location

2432 Clifty Dr
Madison, IN 47250-1636

Mailing address

2432 Clifty Dr
Madison, IN 47250-1636
Phone (812) 265-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001646INMDRadiology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clifty Falls Chiropractic Center, P.S.C. CurrentSince Aug 30, 2010 Accepting new patients

Locations

2432 Clifty Dr
Madison, IN 47250
Phone (812) 265-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1003904210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501636",
            "telephone_number": "812-265-1000",
            "fax_number": "812-265-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501636",
            "telephone_number": "812-265-1000",
            "fax_number": "812-265-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSETH",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "IN",
            "license": "08001646",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "08001646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.