Individual provider Active NPI

Amy Berglund, D.C.

  • Chiropractor
  • Stevensville, MT
National Provider Identifier
1336328640
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1174 Issued in MT
Practice address
212 Main St
Stevensville, MT 59870-2111
Phone
(406) 777-1048
Fax
(406) 777-1038
NPI assigned
Nov 2, 2007
Last updated
Apr 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1174 MT Primary

Addresses

Primary practice location

212 Main St
Stevensville, MT 59870-2111

Mailing address

212 Main St
Stevensville, MT 59870-2111
Phone (406) 777-1048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000086 MT Practitioner - ChiropracticPractitioner - Sports Medicine 8123106101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
National University of Arts and Sciences, Medical Department, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Awr PCGroup PAC ID 7517042666, 2 clinicians

Practice addresses (Care Compare)

212 Main St
Stevensville, MT 59870-2111
Phone (406) 777-1048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: amy@acfc0001.direct.chirotouch.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1336328640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702111",
            "telephone_number": "406-777-1048",
            "fax_number": "406-777-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702111",
            "telephone_number": "406-777-1048",
            "fax_number": "406-777-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGLUND",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.