Individual provider Active NPI

Kerry V Bertschinger, D.C.

  • Chiropractor
  • Martinsburg, WV
National Provider Identifier
1952409658
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
448 Issued in WV
Practice address
9763 Tuscarora Pike
Martinsburg, WV 25403-1000
Phone
(304) 263-6953
Fax
(304) 263-2178
NPI assigned
Sep 20, 2006
Last updated
May 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 448 WV Primary

Addresses

Primary practice location

9763 Tuscarora Pike
Martinsburg, WV 25403-1000

Mailing address

9763 Tuscarora Pike
Martinsburg, WV 25403-1000
Phone (304) 263-6953

Other identifiers 2

IdentifierTypeStateIssuer
0131164000MedicaidWV
001720821OtherWVBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061130000426 WV Practitioner - Chiropractic 0345248258 Reassigns benefits to 2 organizations
Practice locations: Martinsburg, WV

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Bertschinger Chiropractic LLCGroup PAC ID 0840724779, 2 clinicians

Practice addresses (Care Compare)

9763 Tuscarora Pike
Martinsburg, WV 25403-1000
Phone (304) 263-6953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
448WVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kerry V Bertschinger DC Chiropractor CurrentSince Jul 19, 2022 Accepting new patients
Bertschinger Chiropractic LLC Chiropractor CurrentSince Sep 3, 2024 Accepting new patients

Locations

9763 Tuscarora Pike
Martinsburg, WV 25403
Phone (304) 263-6953

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1952409658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9763 TUSCARORA PIKE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031000",
            "telephone_number": "304-263-6953",
            "fax_number": "304-263-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9763 TUSCARORA PIKE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254031000",
            "telephone_number": "304-263-6953",
            "fax_number": "304-263-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTSCHINGER",
        "first_name": "KERRY",
        "middle_name": "V",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131164000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001720821",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.