Individual provider Active NPI

David Michael Bernstein, D.C.

  • Nutrition Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1417173055
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH0003012 Issued in FL
Practice address
800 E Cypress Creek Rd
Suite 100
Fort Lauderdale, FL 33334-3522
Phone
(954) 565-4440
Fax
(954) 565-5312
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

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
Nutrition Chiropractor 111NN1001X CH0003012 FL Primary

Addresses

Primary practice location

800 E Cypress Creek Rd
Suite 100
Fort Lauderdale, FL 33334-3522

Mailing address

800 E Cypress Creek Rd
Suite 100
Fort Lauderdale, FL 33334-3522
Phone (954) 565-4440

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3012FLMDProfessional Counselor
CH0003012FLMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417173055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CYPRESS CREEK RD",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343522",
            "telephone_number": "954-565-4440",
            "fax_number": "954-565-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CYPRESS CREEK RD",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343522",
            "telephone_number": "954-565-4440",
            "fax_number": "954-565-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH0003012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

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.