Individual provider Active NPI

Robert C Bernstein, D.C.

  • Chiropractor
  • Saint Ann, MO
National Provider Identifier
1356477996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005859 Issued in MO
Practice address
10481 Saint Charles Rock Rd
Saint Ann, MO 63074-1836
Phone
(314) 423-3344
Fax
(314) 423-8934
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005859 MO Primary

Addresses

Primary practice location

10481 Saint Charles Rock Rd
Saint Ann, MO 63074-1836

Mailing address

10481 Saint Charles Rock Rd
Saint Ann, MO 63074-1836
Phone (314) 423-3344

Other identifiers 2

IdentifierTypeStateIssuer
14630OtherANTHEM BLUE CROSS
87726OtherUNITED HEALTHCARE

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

State licenses

LicenseStateTypeSpecialty
005859MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief and Family Wellness Center Chiropractor Past Accepting new patients
Bernstein Chiropractic Clinic LLC Chiropractor Past Accepting new patients

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356477996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10481 SAINT CHARLES ROCK RD",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630741836",
            "telephone_number": "314-423-3344",
            "fax_number": "314-423-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10481 SAINT CHARLES ROCK RD",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630741836",
            "telephone_number": "314-423-3344",
            "fax_number": "314-423-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "14630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "87726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ann, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.