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BERGBOWER CHIROPRACTIC LLC
NPI 1639521479
Chiropractor in Greenup, IL

Active since July 05, 2016CLIA 14D2265233 · Waiver
100 W CUMBERLAND ST., GREENUP, IL 62428(217) 923-0100(217) 923-0201 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bergbower Chiropractic Llc NPPES

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

BERGBOWER CHIROPRACTIC LLC (NPI 1639521479) is a healthcare organization registered as a chiropractor in Greenup, Illinois and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through July 25, 2028 and lists Kyle Edward Bergbower, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1639521479
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBERGBOWER CHIROPRACTIC LLC
Location Address100 W CUMBERLAND ST.Greenup, IL 62428-0825
Mailing Address100 W Cumberland StGreenup, IL 62428-0825 · (217) 923-0100 · Fax (217) 923-0201
Phone(217) 923-0100
Fax(217) 923-0201
Organization SubpartNo
Authorized OfficialKyle Edward BergbowerDoctor/owner · (217) 923-0100
Enumeration DateJuly 5, 2016
✔ NPI 1639521479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038012062
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.
100 W CUMBERLAND ST., Greenup, IL 62428
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bergbower Chiropractic Llc 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 Bergbower Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyle Bergbower, D.C.
Chiropractic
NPI 1932476686
100 W CUMBERLAND ST.
Greenup, IL 62428
(217) 923-0100
✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2265233

Bergbower Chiropractic LLC · Greenup, IL
Active · expires Jul 25, 2028
CLIA Number14D2265233
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2026
Certificate Expiration DateJuly 25, 2028
Laboratory DirectorKyle E. Bergbower
Laboratory Phone(217) 923-0100
Laboratory LocationBergbower Chiropractic LLC100 W Cumberland St, Greenup, IL 62428
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bergbower Chiropractic LLC's NPI number?

The NPI number for Bergbower Chiropractic LLC is 1639521479. It was assigned to this organization in the NPPES registry on July 5, 2016.

Where is Bergbower Chiropractic LLC located?

Bergbower Chiropractic LLC is located at 100 W Cumberland St., Greenup, IL 62428. The listed phone number is (217) 923-0100.

What is Bergbower Chiropractic LLC's specialty?

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

Is Bergbower Chiropractic LLC enrolled in Medicare?

Yes. Bergbower Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bergbower Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bergbower Chiropractic LLC. 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.

Does Bergbower Chiropractic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2265233) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bergbower Chiropractic LLC was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.