Active NPI
Deborah J Bernard, DC
- Chiropractor
- Purcellville, VA
National Provider Identifier
1518036847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001080
- Practice address
- 131 N Hatcher Ave
Purcellville, VA 20132-3107 - Phone
- (540) 338-2205
- Fax
- (540) 338-2205
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 0104001080 | VA | Primary |
Addresses
Primary practice location
131 N Hatcher Ave
Purcellville, VA 20132-3107
Mailing address
131 N Hatcher Ave
Purcellville, VA 20132-3107
Phone (540) 338-2205
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292561 | Other | VA | BCBS INS PROVIDER # |
| C541683844-001 | Other | VA | CIGNA INS |
| 5822754 | Other | VA | AETNA INS |
| 44-00211 | Other | VA | UNITED HEALTH CARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001080 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518036847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 N HATCHER AVE",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201323107",
"telephone_number": "540-338-2205",
"fax_number": "540-338-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 N HATCHER AVE",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201323107",
"telephone_number": "540-338-2205",
"fax_number": "540-338-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INS PROVIDER #",
"identifier": "292561",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INS",
"identifier": "C541683844-001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "5822754",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "44-00211",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Purcellville, VA
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.