Organization Active NPI

Freedom Chiropractic Inc

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1336599554
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10630 Issued in FL
Legal business name
FREEDOM CHIROPRACTIC INC
Practice address
801 SE 6TH Ave
Suite 102
Delray Beach, FL 33483-5185
Phone
(561) 808-7388
Fax
(561) 808-7387
NPI assigned
Jun 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Dr. Eric Bjerke, D.C.NPI 1477810257
Title
President
Phone
(561) 808-7388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10630 FL Primary

Addresses

Primary practice location

801 SE 6TH Ave
Suite 102
Delray Beach, FL 33483-5185

Mailing address

801 SE 6TH Ave
Suite 102
Delray Beach, FL 33483-5185
Phone (561) 808-7388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180201002318 FL Part B Supplier - Clinic/Group Practice 8921368473 Receives reassigned benefits from 1 practitioner
Practice locations: Pompano Beach, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1336599554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SE 6TH AVE",
            "address_2": "SUITE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835185",
            "telephone_number": "561-808-7388",
            "fax_number": "561-808-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SE 6TH AVE",
            "address_2": "SUITE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835185",
            "telephone_number": "561-808-7388",
            "fax_number": "561-808-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-18",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "BJERKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-808-7388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.