Organization Active NPI

Bernard J Keenum DC Inc

  • Health Maintenance Organization
  • Pensacola, FL
National Provider Identifier
1831455880
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
CH0009285 Issued in FL
Legal business name
BERNARD J KEENUM DC INC
Practice address
24 E Nine Mile Rd
Pensacola, FL 32534-3137
Phone
(850) 479-1333
Fax
(850) 479-2225
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Bernard Joseph Keenum, D.C.
Title
Chiropractic Physician
Phone
(850) 479-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CH0009285 FL Primary

Addresses

Primary practice location

24 E Nine Mile Rd
Pensacola, FL 32534-3137

Mailing address

24 E Nine Mile Rd
Pensacola, FL 32534-3137
Phone (850) 479-1333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1831455880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343137",
            "telephone_number": "850-479-1333",
            "fax_number": "850-479-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343137",
            "telephone_number": "850-479-1333",
            "fax_number": "850-479-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD J KEENUM DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "KEENUM",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "850-479-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "CH0009285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.