BERGERON CHIROPRACTIC
NPI 1912787136
Chiropractor in Austin, TX
About Bergeron Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERGERON CHIROPRACTIC (NPI 1912787136), doing business as Stonelake Chiropractic, is a healthcare organization registered as a chiropractor in Austin, Texas and active in the NPI registry since October 2023. The organization lists Jacoby Bergeron, Owner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bergeron Chiropractic 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 Bergeron Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Bergeron Chiropractic's NPI number?
The NPI number for Bergeron Chiropractic is 1912787136. It was assigned to this organization in the NPPES registry on October 4, 2023. The provider is doing business as Stonelake Chiropractic.
Where is Bergeron Chiropractic located?
Bergeron Chiropractic is located at 4030 W Braker Ln Bldg 4 Suite 405, Austin, TX 78759. The listed phone number is (218) 688-1454.
What is Bergeron Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Bergeron Chiropractic enrolled in Medicare?
Yes. Bergeron Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bergeron Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bergeron Chiropractic. 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.
When was this NPI record last updated?
The NPPES record for Bergeron Chiropractic was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bergeron Chiropractic · NPI 1912787136
Chiropractor organization in Austin, Texas. Organization record, active in the CMS NPPES registry since October 4, 2023.
## Identity
- **NPI:** 1912787136 (Entity type: Organization)
- **Enumerated:** October 4, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Also known as:** Stonelake Chiropractic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jacoby Bergeron, OWNER/MANAGER
## Practice location
- **Address:** 4030 W BRAKER LN, BLDG 4 SUITE 405, Austin, TX 78759
- **Phone:** (218) 688-1454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912787136) · Data from the CMS NPPES public registry.