Kody Berrong, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2016002123 Issued in MO

Practice address

2725 N Westwood Blvd Ste 13
Poplar Bluff, MO 63901-2367

Phone

(573) 776-7246

Fax

(844) 270-7119

NPI assigned

Feb 21, 2016

Last updated

May 19, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Total Alignment Chiropractic

  • Chiropractor
  • Poplar Bluff, MO
  • NPI 1275992075
  Authorized official Same address or phone

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1063871903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD STE 13",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012367",
            "telephone_number": "573-776-7246",
            "fax_number": "844-270-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD STE 13",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012367",
            "telephone_number": "573-776-7246",
            "fax_number": "844-270-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRONG",
        "first_name": "KODY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016002123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Jo Belmar, RN
• Ashley Bennett
• Laura Benningfield
• Leona M Bergen, ACNPC-AG
• Anna Nicole Berger
• Stephanie Morgan Berrong, PHARM.D.
• Bethann Berry, M.A.
• Isabelle Rose Berry
• Kaley Dawn Berry, LCSW
• Terri Bertholomey

• Chiropractor in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.