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DR. JACOBY DALE BERGERON NPI 1730763186


NPI Information

NPI: 1730763186
Provider Name: DR. JACOBY DALE BERGERON
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2625 24TH AVE S STE B
GRAND FORKS, ND
ZIP 58201
Phone: (701) 746-7979
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DR. Jacoby Dale Bergeron is a chiropractor in Grand Forks, ND. 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. Jacoby Dale Bergeron NPI is 1730763186. 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:

2625 24TH AVE S STE B
GRAND FORKS, ND
ZIP 58201-539
Phone: (701) 746-7979

The enumeration date for this NPI number is 5/11/2021 and was last updated on 5/11/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1145NORTH DAKOTAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.