Active NPI
Jay Bradley Berkowitz, D.C
- Chiropractor
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556586
- Practice address
- 4867 Baxter Rd
Suite 107
Virginia Beach, VA 23462-4469 - Phone
- (757) 497-1555
- Fax
- (757) 497-2715
- NPI assigned
- Jan 29, 2007
- Last updated
- Feb 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556586 | VA | Primary |
Addresses
Primary practice location
4867 Baxter Rd
Suite 107
Virginia Beach, VA 23462-4469
Mailing address
4867 Baxter Rd Ste 107
Virginia Beach, VA 23462-4469
Phone (757) 497-8737
Other practice location 1
4224 Holland Rd Ste 110
Virginia Beach, VA 23452-1900
Phone (757) 486-4772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C03082 | Other | VA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
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)
4867 Baxter Rd
Suite 107
Virginia Beach, VA 23462-4469
Phone (757) 497-1555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Jay B Berkowitz DC PC | Current | Accepting new patients | |
| Peachtree Center Rehab LLC | Chiropractor | Past | Accepting new patients |
| Peachtree Center Rehab Medical Services | Chiropractor | Past | Accepting new patients |
Locations
4224 Holland Rd
Ste 110
Virginia Beach, VA 23452
Phone (757) 486-4772
4867 Baxter Rd
Ste 107
Virginia Beach, VA 23462
Phone (757) 497-1555
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.
-
- Clinic/Center
- Virginia Beach, VA
- NPI 1790844900
-
- Chiropractor
- Atlanta, GA
- NPI 1558606137
-
- Medical Specialty Clinic/Center
- Atlanta, GA
- NPI 1215610381
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1407992423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4867 BAXTER RD STE 107",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234624469",
"telephone_number": "757-497-8737",
"fax_number": "757-497-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 BAXTER RD",
"address_2": "SUITE 107",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234624469",
"telephone_number": "757-497-1555",
"fax_number": "757-497-2715"
}
],
"practiceLocations": [
{
"address_1": "4224 Holland Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234521900",
"country_code": "US",
"telephone_number": "757-486-4772",
"fax_number": "757-486-6511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERKOWITZ",
"first_name": "JAY",
"middle_name": "BRADLEY",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "C03082",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.