JERRY LEE BERNEATHY D.C
NPI 1780870907
Chiropractor in San Diego, CA

Active since September 20, 2007
1707 GRAND AVE, SAN DIEGO, CA 92109(858) 273-6700(858) 273-6702 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Lee Berneathy D.c NPPES

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

JERRY LEE BERNEATHY D.C (NPI 1780870907) is an individual chiropractor in San Diego, California, licensed in California (11853) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1780870907
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJERRY LEE BERNEATHYCredential: D.C
Location Address1707 GRAND AVESan Diego, CA 92109-4469
Mailing Address1707 Grand AveSan Diego, CA 92109-4469 · (858) 273-6700 · Fax (858) 273-6702
Fax(858) 273-6702
Sole ProprietorYes
Enumeration DateSeptember 20, 2007
Last NPPES UpdateSeptember 21, 2007
NPI 1780870907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 11853
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.
1707 GRAND AVE, San Diego, CA 92109

Other Providers at the Same Location NPPES 3

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

Chiropractor
1707 GRAND AVE
SAN DIEGO, CA 92109
Chiropractor
1707 GRAND AVE, SUITE #2
SAN DIEGO, CA 92109
Nurse Practitioner (Family)
1707 GRAND AVE
SAN DIEGO, CA 92109

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 Jerry Berneathy's NPI number?

The NPI number for Jerry Berneathy is 1780870907. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is Jerry Berneathy located?

Jerry Berneathy practices at 1707 Grand Ave, San Diego, CA 92109. The listed phone number is (858) 273-6700.

What is Jerry Berneathy's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Berneathy was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.