Organization Active NPI

Bearor Family Chiropractic, Inc.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1073732046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO06673 Issued in GA
Legal business name
BEAROR FAMILY CHIROPRACTIC, INC.
Practice address
885 Woodstock Rd
Suite 705
Roswell, GA 30075-2277
Phone
(678) 585-9956
Fax
(678) 585-9957
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Nathan Bearor, D.C.NPI 1518089275
Title
Owner
Phone
(678) 585-9956

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 CHIRO06673 GA Primary

Addresses

Primary practice location

885 Woodstock Rd
Suite 705
Roswell, GA 30075-2277

Mailing address

885 Woodstock Rd
Suite 705
Roswell, GA 30075-2277
Phone (678) 585-9956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041123000035 GA Part B Supplier - Clinic/Group Practice 2961465828 Receives reassigned benefits from 1 practitioner
Practice locations: Roswell, GA

National Provider Directory

National Provider Directory

Locations

885 Woodstock Rd
Ste 710
Roswell, GA 30075
Phone (678) 585-9956

885 Woodstock Rd
Ste 705
Roswell, GA 30075
Phone (678) 585-9956

930 Woodstock Rd
Ste 300
Roswell, GA 30075
Phone (678) 585-9956

Practitioners & affiliated clinicians

Practitioners 1

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073732046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD",
            "address_2": "SUITE 705",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752277",
            "telephone_number": "678-585-9956",
            "fax_number": "678-585-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD",
            "address_2": "SUITE 705",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752277",
            "telephone_number": "678-585-9956",
            "fax_number": "678-585-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAROR FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAROR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-585-9956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO06673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.