Active NPI
Andrew S Berns, D.C.
- Chiropractor
- Valparaiso, IN
National Provider Identifier
1134530355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002772A
- Practice address
- 4004 Campbell Street
Valparaiso, IN 46385-1772 - Phone
- (219) 465-1140
- Fax
- (219) 465-0903
- NPI assigned
- May 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002772A | IN | Primary |
Addresses
Primary practice location
4004 Campbell Street
Valparaiso, IN 46385-1772
Mailing address
4004 Campbell Street
Valparaiso, IN 46385-1772
Phone (219) 465-1140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08002772A | Other | IN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140619000842 | IN | Practitioner - Chiropractic | 0840414504 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Sport and Spine Chiropractic PC
Practice addresses (Care Compare)
4004 Campbell St
Valparaiso, IN 46385-1773
Phone (219) 465-1140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1134530355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 CAMPBELL STREET",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463851772",
"telephone_number": "219-465-1140",
"fax_number": "219-465-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 CAMPBELL STREET",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463851772",
"telephone_number": "219-465-1140",
"fax_number": "219-465-0903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNS",
"first_name": "ANDREW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-09",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002772A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "08002772A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.