North Biloxi Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

728 Issued in MS

Legal business name

NORTH BILOXI CHIROPRACTIC CLINIC PA

Practice address

15105 Lemoyne Blvd
Biloxi, MS 39532-5201

Phone

(228) 392-8616

Fax

(228) 392-1278

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bernd Klaus Bismark, DCNPI 1801987524

Title

President/Owner

Phone

(228) 861-3645

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Chiropractic Health Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in MS

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.

• Bernd Klaus Bismark, DC

  • Chiropractor
  • Biloxi, MS
  • NPI 1801987524
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1639260375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325201",
            "telephone_number": "228-392-8616",
            "fax_number": "228-392-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325201",
            "telephone_number": "228-392-8616",
            "fax_number": "228-392-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BILOXI CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "BISMARK",
        "authorized_official_first_name": "BERND",
        "authorized_official_middle_name": "KLAUS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "228-861-3645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07324075",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Biloxi, MS
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.