Individual provider Active NPI

Nathan L Berbereia, D.C.

  • Chiropractor
  • Branson, MO
National Provider Identifier
1194983023
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008005727 Issued in MO
Practice address
800 State Highway 248
Ste 2D
Branson, MO 65616-3721
Phone
(417) 339-3978
NPI assigned
May 28, 2008
Last updated
May 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2008005727 MO Primary

Addresses

Primary practice location

800 State Highway 248
Ste 2D
Branson, MO 65616-3721

Mailing address

800 State Highway 248
Ste 2D
Branson, MO 65616-3721
Phone (417) 339-3978

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008005727MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Family Chiropractic, Inc. Chiropractor PastSince Aug 29, 2005 Accepting new patients
Pure Victory, LLC Chiropractor Past 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, 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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1194983023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 STATE HIGHWAY 248",
            "address_2": "STE 2D",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163721",
            "telephone_number": "417-339-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STATE HIGHWAY 248",
            "address_2": "STE 2D",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163721",
            "telephone_number": "417-339-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERBEREIA",
        "first_name": "NATHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008005727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.