Individual provider Active NPI

Brett Berner, D.C.

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1770024655
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12074 Issued in FL
Practice address
16541 Pointe Village Dr Ste 207
Lutz, FL 33558-5259
Phone
(813) 465-3815
NPI assigned
Mar 13, 2017
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12074 FL Primary

Addresses

Primary practice location

16541 Pointe Village Dr Ste 207
Lutz, FL 33558-5259

Mailing address

16541 Pointe Village Dr Ste 207
Lutz, FL 33558-5259
Phone (813) 578-5889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928002037 FL Practitioner - Chiropractic 9739430802 Reassigns benefits to 1 organization
Practice locations: Lutz, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16541 Pointe Village Dr
Suite 207
Lutz, FL 33558-5259
Phone (813) 578-5889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BB Wellness Chiropractor CurrentSince Mar 1, 2022 Accepting new patients
Steller Life Care Inc. Chiropractor Past Accepting new patients

Locations

16541 Pointe Village Dr
Ste 207
Lutz, FL 33558
Phone (813) 578-5889

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1770024655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16541 POINTE VILLAGE DR STE 207",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585259",
            "telephone_number": "813-578-5889",
            "fax_number": "813-578-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16541 POINTE VILLAGE DR STE 207",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585259",
            "telephone_number": "813-465-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNER",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.