Individual provider Active NPI

Lyne Bergeron-Miletich, D.C.

  • Chiropractor
  • Palm City, FL
National Provider Identifier
1396338091
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14210 Issued in FL
Practice address
2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone
(772) 324-9337
Fax
(772) 324-9347
NPI assigned
Feb 15, 2021
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14210 FL Primary
Chiropractor 111N00000X 06332 IA

Addresses

Primary practice location

2351 SW Martin Hwy
Palm City, FL 34990-3222

Mailing address

2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone (727) 324-9337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000939 FL Practitioner - Chiropractic 2668889312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Action Medical Center LLCGroup PAC ID 7810272473, 12 clinicians

Practice addresses (Care Compare)

2351 SW Martin Hwy
Palm City, FL 34990-3222
Phone (772) 324-9337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Medical Center LLC CurrentSince Mar 5, 2025 Accepting new patients
Back in Action Medical Center LLC CurrentSince Mar 5, 2025 Accepting new patients
Galesburg Wellness Systems P.C. Chiropractor PastSince Feb 1, 2021 Accepting new patients

Locations

2351 SW Martin Hwy
Palm City, FL 34990
Phone (772) 324-8337

1066 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 324-9337

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBABD

Organizations & group practices 3

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1396338091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 SW MARTIN HWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903222",
            "telephone_number": "727-324-9337",
            "fax_number": "772-324-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 SW MARTIN HWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903222",
            "telephone_number": "772-324-9337",
            "fax_number": "772-324-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON-MILETICH",
        "first_name": "LYNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14210",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.