Individual provider Active NPI

Gerald Joseph Wertel, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1912087149
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
200101169 Issued in MO
Practice address
5425 Chippewa St
Saint Louis, MO 63109-1635
Phone
(314) 352-7000
Fax
(314) 352-7002
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 200101169 MO Primary

Addresses

Primary practice location

5425 Chippewa St
Saint Louis, MO 63109-1635

Mailing address

5425 Chippewa St
Saint Louis, MO 63109-1635
Phone (314) 352-7000

Other identifiers 1

IdentifierTypeStateIssuer
154371OtherMOBLUECROSS BLUESHIELD ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110131000403 MO Practitioner - Chiropractic 5890974547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5425 Chippewa St
Saint Louis, MO 63109-1635
Phone (314) 352-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200101169MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald J. Wertel, DCPC Chiropractor CurrentSince Jan 1, 2003 Accepting new patients

Locations

5425 Chippewa St
Saint Louis, MO 63109
Phone (314) 352-7000

5203 Chippewa St
Ste 100
Saint Louis, MO 63109
Phone (314) 352-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1912087149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091635",
            "telephone_number": "314-352-7000",
            "fax_number": "314-352-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091635",
            "telephone_number": "314-352-7000",
            "fax_number": "314-352-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTEL",
        "first_name": "GERALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "200101169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ID #",
            "identifier": "154371",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.