Gary Anton Goerg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0007167 Issued in FL

Practice address

1309 53Rd Ave W
Bradenton, FL 34207-2862

Phone

(941) 755-7700

NPI assigned

May 9, 2007

Last updated

Mar 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gary a. Goerg, DC, PA

  dba Back Pain Institute of Port Charlotte

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1346481520
  NPD (past) Authorized official
• Back Pain Institute of Port Charlotte LLC

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1164626149
  NPD (past)
• Family Chiropractic Center for Wellness Inc

  • Chiropractor
  • Weeki Wachee, FL
  • NPI 1063619385
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1285848325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61593",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339061593",
            "telephone_number": "941-536-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 53RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342072862",
            "telephone_number": "941-755-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERG",
        "first_name": "GARY",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH0007167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Godfrey
• Hannah Godfrey
• Eliot W. Godofsky, M.D.
• Lovely Godoi
• Velma Godwin
• Linda Bergin Goforth, PA-C
• Jose' Mario Goldberg, D.D.S.,P.A
• Brian Howard Goldman, DO
• Howard A Goldman, M.D.
• Bradley E Goldstein, D.O., M.P.H., M.S.

• Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.