Individual provider Active NPI

Olivia Duve-Berghammer, DC

  • Chiropractor
  • Panama City, FL
National Provider Identifier
1790548469
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14855 Issued in FL
Practice address
3613 N Highway 231
Panama City, FL 32404-9743
Phone
(850) 785-8311
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14855 FL Primary

Addresses

Primary practice location

3613 N Highway 231
Panama City, FL 32404-9743

Mailing address

3613 N Highway 231
Panama City, FL 32404-9743
Phone (850) 785-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH14855FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bauman Chiropractic Clinic of North West Florida, P.a. Chiropractor CurrentSince Feb 11, 2024 Accepting new patients
Bauman Chiropractic Clinic of Northwest Florida, P.a. PastSince Feb 11, 2024 Accepting new patients

Locations

3613 N Highway 231
Panama City, FL 32404
Phone (850) 785-8311

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1790548469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 N HIGHWAY 231",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049743",
            "telephone_number": "850-785-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 N HIGHWAY 231",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049743",
            "telephone_number": "850-785-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVE-BERGHAMMER",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.