Glenn Bradford Berkeley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

02187 Issued in MD

Practice address

3327 Superior LN
Suite 204
Bowie, MD 20715-1922

Phone

(301) 860-0288

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

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 and National Provider Directory roles.

• Mid-Atlantic Spinal Rehab & Chiropractic PC

  • Chiropractor
  • Baltimore, MD
  • NPI 1386990687

  DC

  Medicare reassignment NPD
• Mid-Atlantic Spinal Rehab & Chiropractic PC

  • Chiropractor
  • Annapolis, MD
  • NPI 1124760491
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1568599751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 CAMBRIDGE DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN",
            "address_2": "SUITE 204",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151922",
            "telephone_number": "301-860-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKELEY",
        "first_name": "GLENN",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Smith Benjamin, PA-C
• Benliz Healthcare Services
• Cloraine Benoit, LCSW-C
• Berg Lawrence & Weng DDS LLC
• Berkeley Wellness Associates
• Rianna Berkeley
• Claude Bernard
• Berry Children Dental of Bowie
• Richee' K Berry, D.D.S.
• Marshall Besong Agbor

• Chiropractor in Bowie, MD
• Providers in Bowie, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.