United Sport Solutions PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4574 Issued in NC

Legal business name

UNITED SPORT SOLUTIONS PLLC

Practice address

16905 Northcross Dr
Suite 190
Huntersville, NC 28078-5012

Phone

(704) 237-4304

Fax

(704) 237-4455

NPI assigned

Aug 3, 2015

Last updated

Aug 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bren C Bergquist, DCNPI 1447626312

Title

Doctor of Chiropractic

Phone

(704) 237-4304

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bren C Bergquist, DC

  • Chiropractor
  • Huntersville, NC
  • NPI 1447626312
  Authorized official Same address or phone

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1881070738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16905 NORTHCROSS DR",
            "address_2": "SUITE 190",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785012",
            "telephone_number": "704-237-4304",
            "fax_number": "704-237-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16905 NORTHCROSS DR",
            "address_2": "SUITE 190",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785012",
            "telephone_number": "704-237-4304",
            "fax_number": "704-237-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SPORT SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "BREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "704-237-4304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.