Organization Active NPI

Bernard Chiropractic Clinic LLC

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1003943598
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3905 Issued in AZ
Legal business name
BERNARD CHIROPRACTIC CLINIC LLC
Practice address
2160 N Alma School Rd Ste 102
Chandler, AZ 85224-2487
Phone
(480) 821-1034
Fax
(480) 821-1035
NPI assigned
Feb 28, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Douglas Paul Bernard, D.C.
Title
Member
Phone
(480) 821-1034

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20070313000056 AZ Part B Supplier - Clinic/Group Practice 1759484751 Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

2160 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (480) 821-1034

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3905 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

2160 N Alma School Rd Ste 102
Chandler, AZ 85224-2487

Mailing address

2160 N Alma School Rd Ste 102
Chandler, AZ 85224-2487
Phone (480) 821-1034

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2011.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1003943598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 N ALMA SCHOOL RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242487",
            "telephone_number": "480-821-1034",
            "fax_number": "480-821-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 N ALMA SCHOOL RD STE 102",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242487",
            "telephone_number": "480-821-1034",
            "fax_number": "480-821-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-821-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.