Organization Active NPI

Bergeron Chiropractic Neurology PC

  • Chiropractor
  • East Freetown, MA
National Provider Identifier
1053479212
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007 Issued in MA
Legal business name
BERGERON CHIROPRACTIC NEUROLOGY PC
Practice address
8 Crossroads Dr
East Freetown, MA 02717-1256
Phone
(508) 763-4450
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Frank L Bergeron, DCNPI 1952469181
Title
President
Phone
(508) 763-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2007 MA Primary

Addresses

Primary practice location

8 Crossroads Dr
East Freetown, MA 02717-1256

Mailing address

PO Box 431
East Freetown, MA 02717-0431
Phone (508) 763-4450

Other identifiers 1

IdentifierTypeStateIssuer
Y39733OtherMABLUE CROSS OF MA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060427000635 MA Part B Supplier - Clinic/Group Practice 9133139611 Receives reassigned benefits from 1 practitioner
Practice locations: New Bedford, MA; Somerset, MA

National Provider Directory

National Provider Directory

Locations

4331 Acushnet Ave
New Bedford, MA 02745
Phone (508) 763-4450

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1053479212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "EAST FREETOWN",
            "state": "MA",
            "postal_code": "027170431",
            "telephone_number": "508-763-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CROSSROADS DR",
            "city": "EAST FREETOWN",
            "state": "MA",
            "postal_code": "027171256",
            "telephone_number": "508-763-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGERON CHIROPRACTIC NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-763-4450",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MA",
            "identifier": "Y39733",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Freetown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.