Gary W Newberry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2738 Issued in FL

Practice address

1619 6TH St SE
Winter Haven, FL 33880-4605

Phone

(863) 297-5250

Fax

(863) 299-1315

NPI assigned

Oct 19, 2005

Last updated

Sep 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newberry Clinic of Chiropractic PA Inc.Group PAC ID 0648249375, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Newberry Clinic of Chiropractic PA Inc

  • Chiropractor
  • Winter Haven, FL
  • NPI 1356361828
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1053300210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-297-5250",
            "fax_number": "863-299-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-297-5250",
            "fax_number": "863-299-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "GARY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0511331-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Richard Nettlow Jr., MD
• Neurocare Center, LLC
• Neurology& Neurosurgery Associates
• Newave Medical Supplies LLC
• Newberry Clinic of Chiropractic PA Inc
• Newbold Prosthetics, LLC
• Cheryl Lynn Newby
• Christine Newelski, OTR
• Tashanna Newman
• An Nguyen

• Chiropractor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.