Active NPI
Berthiaume Chiropractic PA
- Chiropractor
- Rockledge, FL
National Provider Identifier
1699029876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6888
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381141700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Rockledge, FL
- NPI 1437130978
-
- Chiropractor
- Rockledge, FL
- NPI 1184037897
-
- Chiropractor
- Merritt Island, FL
- NPI 1497931000
-
- Chiropractor
- Rockledge, FL
- NPI 1831498716
-
- Chiropractor
- Marietta, GA
- NPI 1376679449
-
- Chiropractor
- Fairlee, VT
- NPI 1740796523
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.