BERGERON CHIROPRACTIC NPI 1912787136

NPI Information

  • NPI: 1912787136
  • Provider Name: BERGERON CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 4030 W BRAKER LN
    BLDG 4 SUITE 405
    AUSTIN, TX
    ZIP 78759
  • Phone: (218) 688-1454

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NPI Details

BERGERON CHIROPRACTIC is a chiropractor in Austin, TX. 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. BERGERON CHIROPRACTIC NPI is 1912787136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4030 W BRAKER LN
BLDG 4 SUITE 405
AUSTIN, TX
ZIP 78759
Phone: (218) 688-1454

The provider's authorized official is Jacoby Bergeron .
The authorized official title is Owner/manager and has the following contact phone number (218) 688-1454.

The enumeration date for this NPI number is 10/4/2023 and was last updated on 10/4/2023.

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
1111N00000XChiropractorYes

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: 11/21/2025

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