Jon K Bergrin DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1184 Issued in SC

Legal business name

JON K BERGRIN DC PA

Doing business as

family neck and back center

Practice address

405 S Ebenezer Rd
Florence, SC 29501-7916

Phone

(843) 662-4341

Fax

(843) 679-3060

NPI assigned

Mar 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon Keith Bergrin, DCNPI 1285608208

Title

President Ceo

Phone

(843) 662-4341

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• family neck and back center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Keith Bergrin, DC

  • Chiropractor
  • Florence, SC
  • NPI 1285608208
  Authorized official Same address or phone

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740259316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S EBENEZER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017916",
            "telephone_number": "843-662-4341",
            "fax_number": "843-679-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S EBENEZER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017916",
            "telephone_number": "843-662-4341",
            "fax_number": "843-679-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON K BERGRIN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGRIN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "843-662-4341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1184",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285608208",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family neck and back center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Elise Johnson, APRN
• Joint Solutions, LLC
• Joint Solutions, LLC
• Latifah Joint, PHARMD
• Jon H. Docherty, MD (Pee Dee Internal Medicine)
• Vinod K. Jona, M.D.
• Betty L Jones-Covington
• Atalee Moore Jones, PA-C
• Austin Jones, LPES, NCSP, SSP
• Barry Webb Jones Jr., D.M.D.

• Chiropractor in Florence, SC
• Providers in Florence, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.