Elizabeth Sophia Baise-Bergeron, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008419 Issued in MI

Practice address

42171 Ann Arbor Rd E
Plymouth, MI 48170-4370

Phone

(734) 927-4111

Fax

(734) 927-4410

NPI assigned

Nov 9, 2006

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth Sophia Baise Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baise-Bergeron PC

  • Chiropractor
  • Plymouth, MI
  • NPI 1407262660
  Medicare reassignment NPD Authorized official
• Hughes Chiropractic Life Center LLC

  • Chiropractor
  • Dearborn Heights, MI
  • NPI 1073722310
  NPD (past)
• United Wellness Center of Detroit PLLC

  dba United Wellness Center of Detroit

  • Chiropractor
  • Harper Woods, MI
  • NPI 1780979062
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1538239371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42171 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704370",
            "telephone_number": "734-927-4111",
            "fax_number": "734-927-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42171 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704370",
            "telephone_number": "734-927-4111",
            "fax_number": "734-927-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAISE-BERGERON",
        "first_name": "ELIZABETH",
        "middle_name": "SOPHIA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950H215320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BAISE",
            "middle_name": "SOPHIA",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sumbell Baig
• Kennedi Bailey
• Matthew Bailey, LLMSW
• Raven Bailey
• Baise-Bergeron PC
• Zofia Bajgier, CCP
• Christina Marie Bak, M.S., T.L.L.P.
• Ashley Baker
• Crystal Baker
• Danielle Baker

• Chiropractor in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.