Active NPI
Steven Paul Bernal, DC
- Chiropractor
- Marietta, GA
National Provider Identifier
1336651389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009963
- Practice address
- 50 Whitlock PL SW
Ste 100
Marietta, GA 30064-3164 - Phone
- (229) 382-3210
- NPI assigned
- Oct 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009963 | GA | Primary |
Addresses
Primary practice location
50 Whitlock PL SW
Ste 100
Marietta, GA 30064-3164
Mailing address
50 Whitlock PL SW
Ste 100
Marietta, GA 30064-3164
Phone (229) 382-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- steven.bernal.p1@direct.life.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1336651389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WHITLOCK PL SW",
"address_2": "STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643164",
"telephone_number": "229-382-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WHITLOCK PL SW",
"address_2": "STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643164",
"telephone_number": "229-382-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "STEVEN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-31",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.