Individual provider Active NPI

Elizabeth Ann Bernfield, D.C.

  • Chiropractor
  • Plano, TX
National Provider Identifier
1164660700
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002417A Issued in IN
Practice address
6860 Dallas Pkwy Ste 200
Plano, TX 75024-4242
Phone
(425) 890-6239
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002417A IN Primary

Addresses

Primary practice location

6860 Dallas Pkwy Ste 200
Plano, TX 75024-4242

Mailing address

6860 Dallas Pkwy Ste 200
Plano, TX 75024-4242
Phone (317) 469-1145

Other practice location 1

6301 N Keystone Ave
Indianapolis, IN 46220-2156
Phone (317) 257-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08002417AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Advanced Health, LLC PastSince Sep 1, 2020 Accepting new patients
Glendale Chiropractic P.C. Chiropractor PastSince Dec 11, 2012 Accepting new patients

Organizations & group practices 2

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1164660700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 DALLAS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244242",
            "telephone_number": "317-469-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 DALLAS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244242",
            "telephone_number": "425-890-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 N Keystone Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462202156",
            "country_code": "US",
            "telephone_number": "317-257-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNFIELD",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.