Newberry Clinic of Chiropractic PA Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NEWBERRY CLINIC OF CHIROPRACTIC PA INC

Practice address

1619 6TH St SE
Winter Haven, FL 33880-4605

Phone

(863) 297-5250

Fax

(863) 299-1315

NPI assigned

Jul 20, 2006

Last updated

Sep 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary W Newberry, D.C.NPI 1053300210

Title

President

Phone

(863) 297-5250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary W Newberry, DC

  • Chiropractor
  • Winter Haven, FL
  • NPI 1053300210
  Medicare reassignment Care Compare group Authorized official
• Darius Richard Charon, DC

  • Chiropractor
  • Orange City, FL
  • NPI 1609685114
  Medicare reassignment Care Compare group NPD
• Raymond Peter Fernandez, DC

  • Chiropractor
  • Winter Haven, FL
  • NPI 1215067731
  Medicare reassignment
• Jonathan Hann, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1598038465
  Medicare reassignment
• Bryce Duncan, DC

  • Chiropractor
  • Bartow, FL
  • NPI 1245041037
  NPD
• Ralph E Joyner, D.C M.S

  • Chiropractor
  • Winter Haven, FL
  • NPI 1962535773
  NPD (past)
• Samuel Oklesh, D.C.

  • Chiropractor
  • Lakeland, FL
  • NPI 1750572376
  NPD (past)
• Richard T Pfaff, DC

  • Chiropractor
  • Lakeland, FL
  • NPI 1952390940
  NPD (past)
• Alexandria Robynn, DC

  • Chiropractor
  • Winter Haven, FL
  • NPI 1114948106
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1356361828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-297-5250",
            "fax_number": "863-299-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-297-5250",
            "fax_number": "863-299-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY CLINIC OF CHIROPRACTIC PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-297-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Locke Nettles, COTA/L
• Donald Richard Nettlow Jr., MD
• Neurocare Center, LLC
• Neurology& Neurosurgery Associates
• Newave Medical Supplies LLC
• Gary W Newberry, DC
• Newbold Prosthetics, LLC
• Cheryl Lynn Newby
• Christine Newelski, OTR
• Tashanna Newman

• Chiropractor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.