Bernard Chiropractic & Wellness PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9671 Issued in TX

Legal business name

BERNARD CHIROPRACTIC & WELLNESS PA

Practice address

2304 9TH St
Wichita Falls, TX 76301-4031

Phone

(940) 696-9007

Fax

(940) 696-9007

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Brian Brent Bernard, DCNPI 1306905161

Title

President

Phone

(940) 696-9007

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brian B Bernard DC Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Bernard Chiropractic Wellness PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bernard Chiropractic & Wellness PA

  • Chiropractor
  • Wichita Falls, TX
  • NPI 1083019137
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Brent Bernard, D.C.

  • Chiropractor
  • Wichita Falls, TX
  • NPI 1306905161
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1144213570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014031",
            "telephone_number": "940-696-9007",
            "fax_number": "940-696-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014031",
            "telephone_number": "940-696-9007",
            "fax_number": "940-696-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD CHIROPRACTIC & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-696-9007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165670101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8R7450",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian B Bernard DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Renee Berend, FNP-C
• Klonie L Berend, M.D.
• Shane Berend, P.T.
• Susan Berend
• Bernard Chiropractic & Wellness PA
• Brian Brent Bernard, D.C.
• Bernardo Olaya M.D. PA
• Sherril Berre, MA, LPC
• Jessica Berrett, ARNP
• Sarah Berriche

• Chiropractor in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.