A.M.a. of Bervard, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP855 Issued in FL

Legal business name

A.M.A. OF BERVARD, INC.

Practice address

1905 S 25TH St Ste 100
Fort Pierce, FL 34947-4739

Phone

(772) 467-9083

Fax

(772) 464-6478

NPI assigned

May 27, 2011

Last updated

May 27, 2011By 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

Chris Bickford, AP

Title

Owner

Phone

(772) 467-9083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1760775472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S 25TH ST STE 100",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474739",
            "telephone_number": "772-467-9083",
            "fax_number": "772-464-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S 25TH ST STE 100",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474739",
            "telephone_number": "772-467-9083",
            "fax_number": "772-464-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.M.A. OF BERVARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "BICKFORD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-467-9083",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.