Evan Bruce Berk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22593 Issued in CA

Practice address

153 S Doheny Dr
Beverly Hills, CA 90211-2509

Phone

(310) 888-8896

Fax

(310) 888-0133

NPI assigned

Aug 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Elite Integrative Medical

  • General Practice Physician
  • Beverly Hills, CA
  • NPI 1760006712

  Chiropractor

  NPD Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1609980200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 S DOHENY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112509",
            "telephone_number": "310-888-8896",
            "fax_number": "310-888-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S DOHENY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112509",
            "telephone_number": "310-888-8896",
            "fax_number": "310-888-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "EVAN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC22593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia D Berezovsky, DPT
• Michal Taub Berg
• Andre Berger, M.D.
• Catherine Bergitte Bergstrom, PSY.D.
• Berk Chiropractic, Inc.
• Michele Berkman, LCSW
• Suzanne Lauren Berkman, M.D.
• Marvin Berkowitz, M.D.
• Dean Bruce Berkus, M.D.
• Jeff S. Berlin, D.D.S.,M.S.

• Chiropractor in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.