Organization Active NPI

Berlener Chiropractic P C

Doing business as Discover Wellness & Rehabilitation

  • Rehabilitation Chiropractor
  • Jefferson City, MO
National Provider Identifier
1639497928
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2006010204 Issued in MO
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

Updated by the provider on Aug 6, 2012

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.NPI 1558485375
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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.