DR. BRENT RAY BERLENER D. C. NPI 1558485375

NPI Information

NPI: 1558485375
Provider Name: DR. BRENT RAY BERLENER, D. C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3216 EMERALD LN
SUITE A
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 636-6400
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DR. Brent Ray Berlener, D. C. is a chiropractor in Jefferson City, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Brent Ray Berlener, D. C. NPI is 1558485375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3216 EMERALD LN
SUITE A
JEFFERSON CITY, MO
ZIP 65109-947
Phone: (573) 636-6400
Fax: (573) 636-6401

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2006010204	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2006010204	OTHER	MISSOURI	MISSOURI LICENSE NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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