Organization Active NPI

Berthiaume Chiropractic PA

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1699029876
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6888 Issued in FL
Legal business name
BERTHIAUME CHIROPRACTIC PA
Practice address
1197 US Highway 1
Rockledge, FL 32955-2713
Phone
(321) 504-3737
Fax
(321) 504-4454
NPI assigned
Nov 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Dr. Richrd G Berthiaume, D.C.
Title
President
Phone
(321) 504-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6888 FL Primary

Addresses

Primary practice location

1197 US Highway 1
Rockledge, FL 32955-2713

Mailing address

1197 US Highway 1
Rockledge, FL 32955-2713
Phone (321) 504-3737

Other identifiers 1

IdentifierTypeStateIssuer
381141700MedicaidFL

National Provider Directory

National Provider Directory

Locations

1197 US Highway 1
Rockledge, FL 32955
Phone (321) 305-6979

839 Barton Blvd
Rockledge, FL 32955
Phone (321) 504-3737

Practitioners & affiliated clinicians

Practitioners 6

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": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1699029876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552713",
            "telephone_number": "321-504-3737",
            "fax_number": "321-504-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552713",
            "telephone_number": "321-504-3737",
            "fax_number": "321-504-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTHIAUME CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "BERTHIAUME",
        "authorized_official_first_name": "RICHRD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-504-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381141700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.