Individual provider Active NPI

Donald Berglund, D.C.

  • Chiropractor
  • Stamford, CT
National Provider Identifier
1689721995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000702 Issued in CT
Practice address
66 Glenbrook Rd
Suite 100
Stamford, CT 06902-8402
Phone
(203) 978-1100
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000702 CT Primary

Addresses

Primary practice location

66 Glenbrook Rd
Suite 100
Stamford, CT 06902-8402

Mailing address

66 Glenbrook Rd
Suite 100
Stamford, CT 06902-8402
Phone (203) 978-1100

Other identifiers 2

IdentifierTypeStateIssuer
P405271OtherCTOXFORD HEALTH INSURANCE
050000702CT01OtherCTBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000889 CT Practitioner - Chiropractic 6406022854 Practice locations: Stamford, CT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Glenbrook Rd
Suite 100
Stamford, CT 06902-8402
Phone (203) 978-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
702CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Berglund Chiropractic & Wellness, LLC Chiropractor CurrentSince Aug 1, 1988 Accepting new patients

Locations

66 Glenbrook Rd
Ste 100
Stamford, CT 06902
Phone (203) 978-1100

Organizations & group practices 1

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689721995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GLENBROOK RD",
            "address_2": "SUITE 100",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069028402",
            "telephone_number": "203-978-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GLENBROOK RD",
            "address_2": "SUITE 100",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069028402",
            "telephone_number": "203-978-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGLUND",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH INSURANCE",
            "identifier": "P405271",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "050000702CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.