Organization Active NPI

Glenn D Berger DC PA

  • Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1205976248
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH006202 Issued in FL
Legal business name
GLENN D BERGER DC PA
Practice address
441 S Federal Hwy
Deerfield Beach, FL 33441-4133
Phone
(954) 596-8882
Fax
(954) 596-8884
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Glenn David Berger, D.C.NPI 1104933902
Title
President
Phone
(954) 596-8882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH006202 FL Primary

Addresses

Primary practice location

441 S Federal Hwy
Deerfield Beach, FL 33441-4133

Mailing address

441 S Federal Hwy
Deerfield Beach, FL 33441-4133
Phone (954) 596-8882

Other identifiers 1

IdentifierTypeStateIssuer
380617100MedicaidFL

Other names 1

  • Berger Chiropractic and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

441 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 596-8882

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1205976248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414133",
            "telephone_number": "954-596-8882",
            "fax_number": "954-596-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414133",
            "telephone_number": "954-596-8882",
            "fax_number": "954-596-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN D BERGER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-596-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH006202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380617100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berger Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.