Individual provider Active NPI

Bruce Berns, D.C.

  • Chiropractor
  • Ronkonkoma, NY
National Provider Identifier
1679664262
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007206 Issued in NY
Practice address
2805 Veterans Hwy
Ste 8
Ronkonkoma, NY 11779-7680
Phone
(516) 238-6799
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007206 NY Primary

Addresses

Primary practice location

2805 Veterans Hwy
Ste 8
Ronkonkoma, NY 11779-7680

Mailing address

2805 Veterans Memorial Hwy
Ste 8
Ronkonkoma, NY 11779-7680
Phone (631) 667-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007206NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Li Medical Supply LLC CurrentSince Apr 26, 2020 Accepting new patients
Priolo and Berns Chiropractic PLLC Chiropractor Current Accepting new patients
Structure Pro Chiropractic P.C. Chiropractor PastSince Feb 1, 2017 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1679664262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY",
            "address_2": "STE 8",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797680",
            "telephone_number": "631-667-6117",
            "fax_number": "631-667-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VETERANS HWY",
            "address_2": "STE 8",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797680",
            "telephone_number": "516-238-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNS",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "007206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.