Vivian B Ebert, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH0003942 Issued in FL

Practice address

10020 Coconut Rd. # 134
The Brooks Town Center
Bonita Springs, FL 34135

Phone

(239) 498-2225

Fax

(239) 498-0347

NPI assigned

Nov 20, 2006

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1981

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.

• Dr Vivian Ebert Inc.

  dba LivingWell Chiropractic

  • Sports Physician Chiropractor
  • Bonita Springs, FL
  • NPI 1447373394
  Medicare reassignment NPD
• American Spine and Health Institute Corporation

  dba Living Well Chiropractic

  • Chiropractor
  • Estero, FL
  • NPI 1124914809
  NPD
• Randi Birr, DC, PLLC

  • Clinic/Center
  • Naples, FL
  • NPI 1598563181
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1639243702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 COCONUT RD. # 134",
            "address_2": "THE BROOKS TOWN CENTER",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-498-2225",
            "fax_number": "239-498-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 COCONUT RD. # 134",
            "address_2": "THE BROOKS TOWN CENTER",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-498-2225",
            "fax_number": "239-498-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "VIVIAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH0003942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Dunsworth
• Dva Renal Healthcare Inc (Bonita Springs Dialysis)
• E&E Shaping Behaviors LLC
• Nicole Elizabeth Eastham, DMD
• Kelli Elizabeth Eberhardt, D.M.D.
• Angela Beth Echeverria, M.D.
• Frederick Joseph Eck, DDS
• Eden Institute (Eden Florida)
• Marjorie Edwards, APRN
• Amy Gartland Egan, M.D.

• Sports Physician Chiropractor in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.