Individual provider Active NPI

Geoffrey Richard Berard, D.C

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1104177278
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3392 Issued in MA
Practice address
651 Route 73 N Ste 304
Marlton, NJ 08053-3446
Phone
(856) 983-4499
NPI assigned
Sep 28, 2012
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3392 MA Primary

Addresses

Primary practice location

651 Route 73 N Ste 304
Marlton, NJ 08053-3446

Mailing address

651 Route 73 N Ste 304
Marlton, NJ 08053-3446
Phone (856) 983-4499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000307 MA Practitioner - Chiropractic 5092966085 Reassigns benefits to 1 organization
Practice locations: Kingston, MA; Westport, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westport Chiropractic, IncGroup PAC ID 1052596327, 5 clinicians

Practice addresses (Care Compare)

637 State Rd
Westport, MA 02790-2819
Phone (508) 679-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3392MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westport Chiropractic, Inc Chiropractor CurrentSince Jun 13, 2016 Accepting new patients
Back to Wellness LLC Chiropractor PastSince Jun 13, 2016 Accepting new patients
Bryan C Russell Chiropractor PastSince Jul 8, 1998 Accepting new patients
Elite Spine and Sport Center LLC Chiropractor Past Accepting new patients

Locations

637 State Rd
Westport, MA 02790
Phone (508) 679-5500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1104177278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ROUTE 73 N STE 304",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533446",
            "telephone_number": "856-983-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ROUTE 73 N STE 304",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533446",
            "telephone_number": "856-983-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARD",
        "first_name": "GEOFFREY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.