Benjamin Bergevin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60278305 Issued in WA

Practice address

830 E Fairhaven Ave
Burlington, WA 98233-1917

Phone

(360) 757-7373

Fax

(360) 757-6369

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skagit River Chiropractic PS IncGroup PAC ID 8224935887, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skagit River Chiropractic PS Inc

  • Chiropractor
  • Burlington, WA
  • NPI 1982825618
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1073870457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331917",
            "telephone_number": "360-757-7373",
            "fax_number": "360-757-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331917",
            "telephone_number": "360-757-7373",
            "fax_number": "360-757-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEVIN",
        "first_name": "BENJAMIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60278305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra Marie Beck, ARNP
• Deeanna Marie Beh, LMP
• Bella Soul
• Bella Soul Massagetherapy and Spa Inc.
• Bellevue Healthcare II Inc
• Stephanie Lynn Bermudez
• Harpreet Kaur Bhasin, BDS,MDS,MDENT,FRCDC
• Elizabeth Bird, LMP
• Erin Mae Blanco, OD
• Bonnie Blankenship, LMP

• Chiropractor in Burlington, WA
• Providers in Burlington, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.