Active NPI
Eric J Berseth, D.C.
- Rehabilitation Chiropractor
- Madison, IN
National Provider Identifier
1003904210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 08001646
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001646 | IN | MD | Radiology 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
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.
-
- Chiropractor
- Madison, IN
- NPI 1700919834
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
- Stephanie Anne Barr, LMSW
- Sherry Bear
- Michael Z Bechard, MA
- L. Barrett Bernard, M.D.
- Susan M Berns, NNP
- Bethany Cares Home Health Services Inc
- Bevli Holdings LLC (ohiovalleyphysicaltherapy)
- Ravinder P. S Bevli, P.T
- Bio-Medical Applications of Indiana, Inc. (Fresenius Medical Care of Madison)
- Bionic Prosthetics and Orthotics Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.