ST PETERSBURG CHIROPRACTIC PLLC
NPI 1609684190
Chiropractor in St Petersburg, FL

Q: What is St Petersburg Chiropractic PLLC's NPI number?

The NPI number for St Petersburg Chiropractic PLLC is 1609684190. It was assigned to this organization in the NPPES registry on December 30, 2024.

Q: What is St Petersburg Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since December 30, 2024

2121 5TH AVE N, ST PETERSBURG, FL 33713(727) 492-4697 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2026, Dec 30, 2024 (2 updates tracked since 2024).

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About St Petersburg Chiropractic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST PETERSBURG CHIROPRACTIC PLLC (NPI 1609684190) is a healthcare organization registered as a chiropractor in St Petersburg, Florida and active in the NPI registry since December 2024. The organization lists Bryane Heaberlin, Manager, as its authorized official.

NPPES Registry Identity

NPI1609684190

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameST PETERSBURG CHIROPRACTIC PLLC

Location Address2121 5TH AVE NSt Petersburg, FL 33713-8013

Mailing Address2121 5th Ave NSt Petersburg, FL 33713-8013 · (727) 492-4697

Phone(727) 492-4697

Organization SubpartNo

Authorized OfficialBryane HeaberlinManager · (727) 492-4697

Enumeration DateDecember 30, 2024

Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1609684190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

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.

2121 5TH AVE N, St Petersburg, FL 33713

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Petersburg Chiropractic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St Petersburg Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryane Heaberlin

Chiropractic

NPI 1801604046

2931 1ST AVE S
St Petersburg, FL 33712

(727) 492-4697

✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Petersburg Chiropractic PLLC's NPI number?

The NPI number for St Petersburg Chiropractic PLLC is 1609684190. It was assigned to this organization in the NPPES registry on December 30, 2024.

Where is St Petersburg Chiropractic PLLC located?

St Petersburg Chiropractic PLLC is located at 2121 5th Ave N, St Petersburg, FL 33713. The listed phone number is (727) 492-4697.

What is St Petersburg Chiropractic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is St Petersburg Chiropractic PLLC enrolled in Medicare?

Yes. St Petersburg Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Petersburg Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to St Petersburg Chiropractic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Petersburg Chiropractic PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list St Petersburg Chiropractic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Petersburg Chiropractic PLLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.