Individual provider Active NPI

Brian Brent Bernard, D.C.

  • Chiropractor
  • Wichita Falls, TX
National Provider Identifier
1306905161
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9671 Issued in TX
Practice address
2304 9TH St
Wichita Falls, TX 76301-4031
Phone
(940) 696-9007
Fax
(940) 723-0807
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9671 TX Primary

Addresses

Primary practice location

2304 9TH St
Wichita Falls, TX 76301-4031

Mailing address

2304 9TH St
Wichita Falls, TX 76301-4031
Phone (940) 696-9007

Other identifiers 3

IdentifierTypeStateIssuer
1144213570OtherTXP.A. NPI NUMBER
165670101MedicaidTX
8CG501OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000265 TX Practitioner - Chiropractic 3870498793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2304 9TH St
Wichita Falls, TX 76301-4031
Phone (940) 696-9007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9671TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard Chiropractic & Wellness PA Chiropractor Current Accepting new patients
Bernard Chiropractic & Wellness PA Chiropractor CurrentSince Oct 27, 2003 Accepting new patients

Locations

2304 9th St
Wichita Falls, TX 76301
Phone (940) 285-0311

3110 Midwestern Pkwy
Wichita Falls, TX 76308
Phone (940) 696-9007

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1306905161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014031",
            "telephone_number": "940-696-9007",
            "fax_number": "940-723-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014031",
            "telephone_number": "940-696-9007",
            "fax_number": "940-723-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "BRIAN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.A. NPI NUMBER",
            "identifier": "1144213570",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165670101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CG501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.