Kenneth Layne Berry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9346 Issued in FL

Practice address

425 W Town PL
Ste. 118
St Augustine, FL 32092-3661

Phone

(904) 940-0361

Fax

(904) 940-0364

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Village Chiropractic Center of

  • Chiropractor
  • Saint Augustine, FL
  • NPI 1407042781
  Medicare reassignment NPD Authorized official
• Clay Pain Center Physicians LLC

  • Pain Medicine Physician
  • Orange Park, FL
  • NPI 1659508273
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1841494077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W TOWN PL",
            "address_2": "STE. 118",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923661",
            "telephone_number": "904-940-0361",
            "fax_number": "904-940-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W TOWN PL",
            "address_2": "STE. 118",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923661",
            "telephone_number": "904-940-0361",
            "fax_number": "904-940-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KENNETH",
        "middle_name": "LAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Leon Bernall, A.P.
• Ana Maria Bernard, DDS
• Ashley Bernardez, DPT
• Brooks Bernstein
• Franklin Berry
• Bert a Tavary, D.D.S., P.a.
• James Berwick, LCSW
• Jessica Bethel
• Better Health Compounding Pharmacies LLC
• Hemant K Bhargava, MD

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.