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DR. BERNARD JOSEPH KEENUM D.C.
NPI 1760654925
Chiropractor in Diberville, MS

Active since March 27, 2008Accepts Medicare Assignment
11505 CINEMA DR STE 7, DIBERVILLE, MS 39540(228) 365-0449(228) 365-2314 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Bernard Joseph Keenum D.c. NPPES

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

DR. BERNARD JOSEPH KEENUM D.C. (NPI 1760654925) is an individual chiropractor in Diberville, Mississippi, licensed in Mississippi (001221) and active in the NPI registry since March 2008. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1760654925
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BERNARD JOSEPH KEENUMCredential: D.C.
Location Address11505 CINEMA DR STE 7Diberville, MS 39540-9703
Mailing Address11505 Cinema Dr Ste 7Diberville, MS 39540-9703 · (228) 365-0449 · Fax (228) 365-2314
Phone(228) 365-0449
Fax(228) 365-2314
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 27, 2008
Last NPPES UpdateMarch 8, 2018
✔ NPI 1760654925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 001221
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.
11505 CINEMA DR STE 7, Diberville, MS 39540
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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. Bernard Joseph Keenum D.c. 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 ID648348862
PECOS Enrollment IDI20140611001168

Medicare Billing Reassignment

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

Southern Regional Chiropractic And Rehabilitation Center
Same address
Chiropractor
11505 CINEMA DR STE 7
Diberville, MS 39540
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1134635360 (228) 365-0449

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN REGIONAL CHIROPRACTIC AND REHABILITATION CENTER
Chiropractor
11505 CINEMA DR STE 7
DIBERVILLE, MS 39540
Harrison County (228) 365-0449
BERNARD KEENUM, LLC
Chiropractor
11505 CINEMA DR STE 7
DIBERVILLE, MS 39540
Harrison County (228) 365-0449

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 Bernard Keenum's NPI number?

The NPI number for Bernard Keenum is 1760654925. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Where is Bernard Keenum located?

Bernard Keenum practices at 11505 Cinema Dr Ste 7, Diberville, MS 39540. The listed phone number is (228) 365-0449.

What is Bernard Keenum's specialty?

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

Is Bernard Keenum enrolled in Medicare?

Yes. Bernard Keenum 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 Bernard Keenum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernard Keenum reassigns Medicare benefits to Southern Regional Chiropractic And Rehabilitation Center (Diberville, MS). 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 Bernard Keenum'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 Bernard Keenum was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.