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DR. VIVIAN B EBERT DC
NPI 1639243702
Chiropractor - Sports Physician in Bonita Springs, FL

Active since November 20, 2006Accepts Medicare Assignment
10020 COCONUT RD. # 134, THE BROOKS TOWN CENTER, BONITA SPRINGS, FL 34135(239) 498-2225(239) 498-0347 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Vivian B Ebert Dc NPPES

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

DR. VIVIAN B EBERT DC (NPI 1639243702) is an individual sports physician in Bonita Springs, Florida, licensed in Florida (CH0003942) and active in the NPI registry since November 2006. She is a graduate of Other (1981).

NPPES Registry Identity

NPI1639243702
Entity TypeIndividualFemale
Primary Taxonomy111NS0005X
Provider Legal NameDR. VIVIAN B EBERTCredential: DC
Location Address10020 COCONUT RD. # 134, THE BROOKS TOWN CENTERBonita Springs, FL 34135
Mailing Address10020 Coconut Rd. # 134, The Brooks Town CenterBonita Springs, FL 34135 · (239) 498-2225 · Fax (239) 498-0347
Phone(239) 498-2225
Fax(239) 498-0347
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 20, 2006
Last NPPES UpdateAugust 27, 2012
✔ NPI 1639243702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in FL · CH0003942
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
10020 COCONUT RD. # 134, Bonita Springs, FL 34135
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Other Identifiers 2

Medicare ID-Type Unspecified88777FL
Medicare UPINT95239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vivian B Ebert Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406032101
PECOS Enrollment IDI20110513000431

Medicare Billing Reassignment

Medicare enrollment records show Vivian Ebert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Vivian Ebert Inc.
Same address
Sports Physician
10020 COCONUT RD., #134
Bonita Springs, FL 34135
  • Reassigned Medicare billing, Florida enrollment
NPI 1447373394 (239) 498-2225

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,302 services202 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
122 services28 patients

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 Vivian Ebert's NPI number?

The NPI number for Vivian Ebert is 1639243702. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Vivian Ebert located?

Vivian Ebert practices at 10020 Coconut Rd. # 134 The Brooks Town Center, Bonita Springs, FL 34135. The listed phone number is (239) 498-2225.

What is Vivian Ebert's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Vivian Ebert enrolled in Medicare?

Yes. Vivian Ebert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Vivian Ebert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Ebert reassigns Medicare benefits to Dr Vivian Ebert Inc. (Bonita Springs, FL). The 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 Vivian Ebert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vivian Ebert was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.