Active NPI
Scott Berger, D.C.
- Chiropractor
- Chicago, IL
National Provider Identifier
1053700583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012750
- Practice address
- 3832 N Broadway St
Chicago, IL 60613-3218 - Phone
- (317) 409-4624
- NPI assigned
- Jan 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.012750 | IL | Primary |
Addresses
Primary practice location
3832 N Broadway St
Chicago, IL 60613-3218
Mailing address
3832 N Broadway St
Chicago, IL 60613-3218
Phone (317) 409-4624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012750 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1053700583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3832 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133218",
"telephone_number": "317-409-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3832 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133218",
"telephone_number": "317-409-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-21",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.