Active NPI
Gary T. Berner, D.C.
- Chiropractor
- Fairfield, OH
National Provider Identifier
1851370571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1348
- Practice address
- 5850 Boymel Dr
Unit #2
Fairfield, OH 45014-8529 - Phone
- (513) 870-9559
- Fax
- (513) 870-9593
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1348 | OH | Primary |
Addresses
Primary practice location
5850 Boymel Dr
Unit #2
Fairfield, OH 45014-8529
Mailing address
5850 Boymel Dr
Unit #2
Fairfield, OH 45014-8529
Phone (513) 870-9559
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0898891 | Medicaid | OH | |
| 311358253-00 | Other | OH | GRP OHIO BWC NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1348 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1851370571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 BOYMEL DR",
"address_2": "UNIT #2",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450148529",
"telephone_number": "513-870-9559",
"fax_number": "513-870-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 BOYMEL DR",
"address_2": "UNIT #2",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450148529",
"telephone_number": "513-870-9559",
"fax_number": "513-870-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNER",
"first_name": "GARY",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0898891",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP OHIO BWC NUMBER",
"identifier": "311358253-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.