Mike Eugene Bernd, D. C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

13280 Issued in CA

Practice address

3651 Montgomery Dr
Santa Rosa, CA 95405-5243

Phone

(707) 544-6975

Fax

(707) 544-5042

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336268598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055243",
            "telephone_number": "707-544-6975",
            "fax_number": "707-544-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055243",
            "telephone_number": "707-544-6975",
            "fax_number": "707-544-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERND",
        "first_name": "MIKE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "13280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amador Herrera Bernal
• Rosalinda Bernal
• Deirdre Bernard Pearl, MD
• Karen Bernard-Flores
• Matthew Garrett Bernd, D. C.
• Andrew Joseph Berndt
• Amanda Berney, PSYD
• Samuel Bernier
• Bernstein and Wandell, a Dental Corporation
• Judith Bernstein, MSW

• Neurology Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Neurology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.