Jerry Lee Berneathy, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11853 Issued in CA

Practice address

1707 Grand Ave
San Diego, CA 92109-4469

Phone

(858) 273-6700

Fax

(858) 273-6702

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1780870907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 GRAND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094469",
            "telephone_number": "858-273-6700",
            "fax_number": "858-273-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 GRAND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094469",
            "telephone_number": "858-273-6700",
            "fax_number": "858-273-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNEATHY",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystine Elizabeth Salvador Bernas, B.S.
• Jazlyn Bernave Godoy
• Kathryn Lynn Berndt, M.D.
• Allison Berndtson, MD
• Berneathy Chiropractic Office, Inc
• Barbara Bernenswilliams, OT
• Michael C Berner, OD
• Gemma Alma Bernes, LCSW
• Christine Bernet, PHD
• Maren Angelique Noelle Bernier

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.