Bergley Chiropractic, PA

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

2421 Issued in MN

Legal business name

BERGLEY CHIROPRACTIC, PA

Practice address

4 Enterprise Ave NE Ste 6
Isanti, MN 55040-6814

Phone

(763) 670-4638

Fax

(763) 444-6647

NPI assigned

Dec 24, 2009

Last updated

Jul 21, 2022By 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. Paul Michael Bergley, D.C.

Title

President

Phone

(763) 377-2209

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902135817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550406508",
            "telephone_number": "763-377-2209",
            "fax_number": "763-237-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ENTERPRISE AVE NE STE 6",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550406814",
            "telephone_number": "763-670-4638",
            "fax_number": "763-444-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGLEY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERGLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-377-2209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Isanti, MN
• Providers in Isanti, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.