Active NPI
Berlener Chiropractic P C
Doing business as Discover Wellness & Rehabilitation
- Rehabilitation Chiropractor
- Jefferson City, MO
National Provider Identifier
1639497928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 2006010204
- Legal business name
- BERLENER CHIROPRACTIC P C
- Doing business as
- Discover Wellness & Rehabilitation
- Practice address
- 3216 Emerald LN
Suite a
Jefferson City, MO 65109-6947 - Phone
- (573) 636-6400
- Fax
- (573) 636-6401
- NPI assigned
- May 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent Ray Berlener, D.C.
- Title
- President
- Phone
- (573) 636-6400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2006010204 | MO | Primary |
Addresses
Primary practice location
3216 Emerald LN
Suite a
Jefferson City, MO 65109-6947
Mailing address
3216 Emerald LN
Suite a
Jefferson City, MO 65109-6947
Phone (573) 636-6400
Other names 1
- Discover Wellness & Rehabilitation
National Provider Directory
National Provider DirectoryLocations
3216 Emerald Ln
Ste A
Jefferson City, MO 65109
Phone (573) 636-6400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jefferson City, MO
- NPI 1558485375
-
- Massage Therapist
- Jefferson City, MO
- NPI 1609143189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1639497928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 EMERALD LN",
"address_2": "SUITE A",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096947",
"telephone_number": "573-636-6400",
"fax_number": "573-636-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 EMERALD LN",
"address_2": "SUITE A",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096947",
"telephone_number": "573-636-6400",
"fax_number": "573-636-6401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERLENER CHIROPRACTIC P C",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "BERLENER",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-636-6400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "MO",
"license": "2006010204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Discover Wellness & Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.