Organization Active NPI

Everglades College Inc

  • Independent Medical Examiner Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1487110995
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
Legal business name
EVERGLADES COLLEGE INC
Practice address
2085 Vista Parkway
West Palm Beach, FL 33411
Phone
(561) 471-6000
Fax
(561) 471-7849
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Authorized official

Name
Mr. Joseph Christopher Berardinelli
Title
Treasurer
Phone
(954) 776-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X Primary

Addresses

Primary practice location

2085 Vista Parkway
West Palm Beach, FL 33411

Mailing address

2085 Vista Parkway
West Palm Beach, FL 33411
Phone (561) 471-6000

Other names 1

  • Keiser University Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220722002948 FL Part B Supplier - Clinic/Group Practice 5496136350 Receives reassigned benefits from 5 practitioners
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

2081 Vista Pkwy
Ste 122A
West Palm Beach, FL 33411
Phone (561) 273-0099

2085 Vista Pkwy
West Palm Beach, FL 33411
Phone (561) 273-0099

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688169600000",
    "number": "1487110995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 VISTA PARKWAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-471-6000",
            "fax_number": "561-471-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 VISTA PARKWAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-471-6000",
            "fax_number": "561-471-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGLADES COLLEGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "BERARDINELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "954-776-4476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keiser University",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keiser University",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.