St Petersburg Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ST PETERSBURG CHIROPRACTIC PLLC

Practice address

2121 5TH Ave N
St Petersburg, FL 33713-8013

Phone

(727) 492-4697

NPI assigned

Dec 30, 2024

Organization subpart

No

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

Authorized official

Name

Bryane HeaberlinNPI 1801604046

Title

Manager

Phone

(727) 492-4697

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryane Heaberlin

  • Chiropractor
  • St Petersburg, FL
  • NPI 1801604046
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1609684190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138013",
            "telephone_number": "727-492-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138013",
            "telephone_number": "727-492-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERSBURG CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "HEABERLIN",
        "authorized_official_first_name": "BRYANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-492-4697"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Pete ENT LLC
• St Pete Optical Inc
• St Pete Spinal Care LLC
• St Petersburg Ambulatory Surgery Center LLC
• St Petersburg Arthritis Center PA
• St Petersburg Diabetic & Arthritic Foot Center PA
• St Petersburg Ear Nose & Throat Ctr LLC
• St Petersburg Eye Care Specialists P.a.
• St Petersburg Family Care Center
• St Petersburg Gastroenterology Associates LLC

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.