Individual provider Active NPI

Gerd Koerber, D.C.

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1487986550
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556777 Issued in VA
Practice address
1995 Jefferson Davis Hwy
Ste 100
Fredericksburg, VA 22401-5299
Phone
(540) 446-5824
Fax
(540) 446-5483
NPI assigned
Feb 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556777 VA Primary

Addresses

Primary practice location

1995 Jefferson Davis Hwy
Ste 100
Fredericksburg, VA 22401-5299

Mailing address

1995 Jefferson Davis Hwy
Ste 100
Fredericksburg, VA 22401-5299
Phone (540) 446-5824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000849 VA Practitioner - Chiropractic 9739336884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Ultimate Family WellnessGroup PAC ID 3476700527, 2 clinicians

Practice addresses (Care Compare)

10401 Courthouse Rd
Suite a
Spotsylvania, VA 22553-1719
Phone (540) 446-5824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Family Wellness Chiropractor CurrentSince Dec 10, 2022 Accepting new patients

Locations

1109 Heatherstone Dr
#102
Fredericksburg, VA 22407
Phone (540) 446-5824

10401 Courthouse Rd
Ste A
Spotsylvania, VA 22553
Phone (540) 446-5824

Organizations & group practices 1

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": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1487986550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 JEFFERSON DAVIS HWY",
            "address_2": "STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015299",
            "telephone_number": "540-446-5824",
            "fax_number": "540-446-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 JEFFERSON DAVIS HWY",
            "address_2": "STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015299",
            "telephone_number": "540-446-5824",
            "fax_number": "540-446-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERBER",
        "first_name": "GERD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.