Barry Gjerdrum, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003329 Issued in WA

Practice address

7010 Woodlawn Ave NE
Seattle, WA 98115-5433

Phone

(206) 517-5433

Fax

(206) 517-5533

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr Barry Gjerdrum PS

  dba Lifestyle Chiropractic

  • Chiropractor
  • Seattle, WA
  • NPI 1073715306
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982758181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155433",
            "telephone_number": "206-517-5433",
            "fax_number": "206-517-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 WOODLAWN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155433",
            "telephone_number": "206-517-5433",
            "fax_number": "206-517-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJERDRUM",
        "first_name": "BARRY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI NUMBER",
            "identifier": "128517",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RYDER NUMBER",
            "identifier": "GJ4723",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Conner Given, PA-C
• Steven Holt Given
• Latayna Givens
• Matthew Givens, MD
• Lulu M. Gizaw, PA-C
• Vivian Rachel Gjessing
• Glad Horizons PLLC
• Hellisha Shanta Gladden-Harris
• George H. Glade Sr., ARNP
• Joshua Gladstein, OTR/L

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.