Brent Ray Berlener, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2006010204 Issued in MO

Practice address

3216 Emerald LN
Suite a
Jefferson City, MO 65109-6947

Phone

(573) 636-6400

Fax

(573) 636-6401

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Berlener Chiropractic P C

  • Rehabilitation Chiropractor
  • Jefferson City, MO
  • NPI 1639497928
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1558485375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 EMERALD LN",
            "address_2": "SUITE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096947",
            "telephone_number": "573-636-6400",
            "fax_number": "573-636-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 EMERALD LN",
            "address_2": "SUITE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096947",
            "telephone_number": "573-636-6400",
            "fax_number": "573-636-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLENER",
        "first_name": "BRENT",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006010204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE NO.",
            "identifier": "2006010204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benson Counseling of Mo LLC
• Mae Mildred Benson, MASSAGE THERAPIST
• Jodi A Berendzen, M.D.
• Bridget Maureen Berhorst, O.T.
• Berlener Chiropractic P C
• Reagan G Bernskoetter
• Deana Michelle Berrey, D.O.
• Joshua Christopher Berry, PHARM.D.
• Danielle Bertram, NP
• Laura Elizabeth Besgrove, MSN, APRN, FNP-BC

• Chiropractor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.