Individual provider Active NPI

Robert Nathan Bearor

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1518089275
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO06673 Issued in GA
Practice address
885 Woodstock Rd
Suite 705
Roswell, GA 30075-2277
Phone
(678) 585-9956
Fax
(678) 585-9957
NPI assigned
Apr 4, 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
Chiropractor 111N00000X CHIRO06673 GA Primary

Addresses

Primary practice location

885 Woodstock Rd
Suite 705
Roswell, GA 30075-2277

Mailing address

885 Woodstock Rd
Suite 705
Roswell, GA 30075-2277
Phone (678) 585-9956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000052 GA Practitioner - Chiropractic 7113980087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 Woodstock Rd
Suite 300
Roswell, GA 30075-2220
Phone (678) 585-9956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO06673GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bearor Family Chiropractic, Inc. Chiropractor CurrentSince Nov 1, 2000 Accepting new patients

Locations

885 Woodstock Rd
Ste 705
Roswell, GA 30075
Phone (678) 585-9956

930 Woodstock Rd
Ste 300
Roswell, GA 30075
Phone (678) 585-9956

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518089275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD",
            "address_2": "SUITE 705",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752277",
            "telephone_number": "678-585-9956",
            "fax_number": "678-585-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 WOODSTOCK RD",
            "address_2": "SUITE 705",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752277",
            "telephone_number": "678-585-9956",
            "fax_number": "678-585-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAROR",
        "first_name": "ROBERT",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO06673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

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.
  • 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.