Amanda Berkley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5343 Issued in WI

Practice address

322 Cameron Ave
La Crosse, WI 54601-4422

Phone

(608) 784-4639

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Barge Chiropractic Clinic SCGroup PAC ID 8729260187, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Barge Chiropractic Clinic SC

  • Chiropractor
  • La Crosse, WI
  • NPI 1639259229
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1154810414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 CAMERON AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 CAMERON AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014422",
            "telephone_number": "608-784-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKLEY",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6505",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colyn Berg, MSW, APSW, SAC-IT
• Laurence C Berg, MD
• Summer L Berg, LICSW
• Jamie Rose Berger
• Paul Anthony Bergl, MD
• Michael Todd Berkley, DC
• Shelby Katherine Bernard, PA- C (ANTICIPATED)
• Nathaniel W Berndt, PHARMD
• Pennie Lynn Bernett, BSW
• Robyn L Bernett, PA

• Chiropractor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.