Individual provider Active NPI

Steven Marshall Bernhard, D.C.

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1801163704
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10127 Issued in FL
Practice address
5483 NW Saint James Dr
Port St Lucie, FL 34983-3444
Phone
(772) 333-2057
Fax
(772) 333-2130
NPI assigned
Nov 19, 2011
Reactivated
May 31, 2023
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10127 FL Primary

Addresses

Primary practice location

5483 NW Saint James Dr
Port St Lucie, FL 34983-3444

Mailing address

6104 SE Crooked Oak Ave
Hobe Sound, FL 33455-8314
Phone (049) 753-0283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309000518 FL Practitioner - Chiropractic 6406172576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10127FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Health and Wellness LLC Chiropractor Past Accepting new patients
Basis Whole Body Wellness LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1801163704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 SE CROOKED OAK AVE",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334558314",
            "telephone_number": "049-753-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5483 NW SAINT JAMES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833444",
            "telephone_number": "772-333-2057",
            "fax_number": "772-333-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARD",
        "first_name": "STEVEN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-19",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "deactivation_date": "2023-01-09",
        "reactivation_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.