Individual provider Active NPI

Bryan Scott Berger, D.C

  • Chiropractor
  • Jamesburg, NJ
National Provider Identifier
1356357446
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00608800 Issued in NJ
Practice address
15 East Railroad Avenue
Jamesburg, NJ 08831-1375
Phone
(732) 656-1740
Fax
(732) 656-1742
NPI assigned
Jul 31, 2006
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00608800 NJ Primary

Addresses

Primary practice location

15 East Railroad Avenue
Jamesburg, NJ 08831-1375

Mailing address

15 East Railroad Avenue
Jamesburg, NJ 08831-1375
Phone (732) 656-1740

Other identifiers 1

IdentifierTypeStateIssuer
20-5916202OtherNJTAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000020 NJ Practitioner - Chiropractic 4183727217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 E Railroad Ave
Jamesburg, NJ 08831-1465
Phone (732) 656-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wellness Center PC Chiropractor CurrentSince Feb 7, 2007 Accepting new patients
Nutrition Solutions LLC Past Accepting new patients

Locations

220 Forsgate Dr
Jamesburg, NJ 08831
Phone (732) 656-1740

15 E Railroad Ave
Jamesburg, NJ 08831
Phone (732) 656-1740

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, 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1356357446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EAST RAILROAD AVENUE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311375",
            "telephone_number": "732-656-1740",
            "fax_number": "732-656-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EAST RAILROAD AVENUE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311375",
            "telephone_number": "732-656-1740",
            "fax_number": "732-656-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "BRYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00608800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "20-5916202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.