Individual provider Active NPI

Eric Edward Bjerke, DC

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1477810257
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10630 Issued in FL
Practice address
801 SE 6TH Ave Ste 102
Delray Beach, FL 33483-5185
Phone
(561) 808-7388
Fax
(561) 808-7387
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10630 FL Primary

Addresses

Primary practice location

801 SE 6TH Ave Ste 102
Delray Beach, FL 33483-5185

Mailing address

801 SE 6TH Ave
Suite 102
Delray Beach, FL 33483-5185
Phone (561) 808-7388

Other practice location 1

150 E Sample Rd Ste 110
Pompano Beach, FL 33064-3550
Phone (954) 532-5327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000050 FL Practitioner - Chiropractic 0648421966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 SE 6TH Ave
Suite 102
Delray Beach, FL 33483-5185
Phone (561) 808-7388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Chiropractic Inc Chiropractor CurrentSince Apr 9, 2015 Accepting new patients
East Coast Discseel, LLC Current Accepting new patients

Locations

801 SE 6th Ave
Ste 102
Delray Beach, FL 33483
Phone (561) 736-0793

150 E Sample Rd
Ste 110
Pompano Beach, FL 33064
Phone (954) 532-5327

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1477810257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SE 6TH AVE",
            "address_2": "SUITE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835185",
            "telephone_number": "561-808-7388",
            "fax_number": "561-808-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SE 6TH AVE STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835185",
            "telephone_number": "561-808-7388",
            "fax_number": "561-808-7387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Sample Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330643550",
            "country_code": "US",
            "telephone_number": "954-532-5327",
            "fax_number": "954-532-5387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJERKE",
        "first_name": "ERIC",
        "middle_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.