Active NPI
Bernard Chiropractic Clinic LLC
- Chiropractor
- Chandler, AZ
National Provider Identifier
1003943598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3905
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070313000056 | AZ | Part B Supplier - Clinic/Group Practice | 1759484751 | Practice locations: Chandler, AZ |
National Provider Directory
National Provider DirectoryLocations
2160 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (480) 821-1034
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3905 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary 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.