Organization Active NPI

Berk Chiropractic and Sports Care PC

  • Sports Physician Chiropractor
  • Hadley, MA
National Provider Identifier
1366832131
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3478 Issued in MA
Legal business name
BERK CHIROPRACTIC AND SPORTS CARE PC
Practice address
234 Russell St Ste 201
Hadley, MA 01035-3534
Phone
(413) 584-9888
Fax
(413) 584-3095
NPI assigned
Jan 30, 2015
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Dr. Eli Zachary Berk, DC
Title
Business Owner, Physician
Phone
(413) 584-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 3478 MA Primary

Addresses

Primary practice location

234 Russell St Ste 201
Hadley, MA 01035-3534

Mailing address

234 Russell St
2ND Floor
Hadley, MA 01035-3534
Phone (413) 584-9888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181119001334 MA Part B Supplier - Clinic/Group Practice 2365796976 Receives reassigned benefits from 1 practitioner
Practice locations: Hadley, MA

National Provider Directory

National Provider Directory

Locations

234 Russell St
#2
Hadley, MA 01035

234 Russell St
Ste 201
Hadley, MA 01035
Phone (413) 341-6441

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1366832131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 RUSSELL ST",
            "address_2": "2ND FLOOR",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010353534",
            "telephone_number": "413-584-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 RUSSELL ST STE 201",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010353534",
            "telephone_number": "413-584-9888",
            "fax_number": "413-584-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERK CHIROPRACTIC AND SPORTS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "BUSINESS OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "413-584-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.