Active NPI
Justin Berg, D.C.
- Chiropractor
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC3954DC
- Practice address
- 2541 N Pleasantburg Dr
Suite R
Greenville, SC 29609-2728 - Phone
- (864) 354-5467
- NPI assigned
- Sep 6, 2014
- Last updated
- Sep 6, 2014
- 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 | DC3954DC | SC | Primary |
Addresses
Primary practice location
2541 N Pleasantburg Dr
Suite R
Greenville, SC 29609-2728
Mailing address
2541 N Pleasantburg Dr
Suite R
Greenville, SC 29609-2728
Phone (864) 354-5467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2541 N Pleasantburg Dr
Suite R
Greenville, SC 29609-2728
Phone (864) 501-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC3954DC | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berg Chiropractic Centers | Chiropractor | Current | Accepting new patients |
Locations
1615 Wade Hampton Blvd
Ste D
Greenville, SC 29609
Phone (864) 501-3600
2541 N Pleasantburg Dr
Ste R
Greenville, SC 29609
Phone (864) 370-0911
Organizations & group practices 1
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": "1409961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409961600000",
"number": "1871994160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2541 N PLEASANTBURG DR",
"address_2": "SUITE R",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296092728",
"telephone_number": "864-354-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2541 N PLEASANTBURG DR",
"address_2": "SUITE R",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296092728",
"telephone_number": "864-354-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-06",
"last_updated": "2014-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "DC3954DC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.