Individual provider Active NPI

James B Gerni, DC, LAC

  • Chiropractor
  • Hagerstown, IN
National Provider Identifier
1285709022
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001729A Issued in IN
Practice address
449 E Main St Ste 201
Hagerstown, IN 47346-1338
Phone
(765) 530-8117
Fax
(765) 530-8118
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001729A IN Primary
Acupuncturist 171100000X 81000007A IN

Addresses

Primary practice location

449 E Main St Ste 201
Hagerstown, IN 47346-1338

Mailing address

449 E Main St Ste 201
Hagerstown, IN 47346-1338
Phone (765) 530-8117

Other identifiers 1

IdentifierTypeStateIssuer
200215040AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000646 IN Practitioner - Chiropractic 2860516499 Practice locations: Bloomfield, IN; Hagerstown, IN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

249 S Franklin St
Suite 4
Bloomfield, IN 47424-1634
Phone (765) 541-9450

449 E Main St
Suite 201
Hagerstown, IN 47346-1338
Phone (765) 530-8117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001729AINMDChiropractor
81000007AINMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1285709022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E MAIN ST STE 201",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461338",
            "telephone_number": "765-530-8117",
            "fax_number": "765-530-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E MAIN ST STE 201",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461338",
            "telephone_number": "765-530-8117",
            "fax_number": "765-530-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNI",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001729A",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "81000007A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200215040A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.