Bianca Marie Iberle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4543 Issued in SC

Practice address

113 S Main St
Summerville, SC 29483-6007

Phone

(843) 871-2472

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stoller EnterpriseGroup PAC ID 6709213515, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stoller Enterprise

  • Chiropractor
  • Summerville, SC
  • NPI 1912543059
  Medicare reassignment Care Compare group NPD
• Elite Performance and Pain Center LLC

  • Chiropractor
  • Charleston, SC
  • NPI 1225183783
  NPD (past)

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1063170975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836007",
            "telephone_number": "843-971-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836007",
            "telephone_number": "843-871-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBERLE",
        "first_name": "BIANCA",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "423",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hyc, LPCA
• Cindy Hylton, DMD
• Rebekah Casey Hynick
• John Joseph Iannace, DC
• Robert S Iannace, D.C.
• Erich Karl Iberle, MS BCBA
• Ideal-Eyes Eye Care LLC
• Dinoca Ann Ihrig, LPC M.ED. NCC GCFD
• Imagine Physical Therapy Cane Bay
• Natalie Forsberg Inabnett, PA-C

• Chiropractor in Summerville, SC
• Providers in Summerville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.