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BERGERON CHIROPRACTIC
NPI 1912787136
Chiropractor in Austin, TX

Active since October 04, 2023
4030 W BRAKER LN, BLDG 4 SUITE 405, AUSTIN, TX 78759(218) 688-1454 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1912787136
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBERGERON CHIROPRACTIC
Location Address4030 W BRAKER LN, BLDG 4 SUITE 405Austin, TX 78759
Mailing Address4030 W Braker Ln, Bldg 4 Suite 405Austin, TX 78759
Phone(218) 688-1454
Organization SubpartNo
Authorized OfficialJacoby BergeronOwner/manager · (218) 688-1454
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
✔ NPI 1912787136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
4030 W BRAKER LN, Austin, TX 78759
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Other Names 1

Doing Business AsStonelake Chiropractic

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

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.

SMART CHOICE DRUGSTORE
Pharmacy (Community/Retail Pharmacy)
4030 W BRAKER LN, STE 400
AUSTIN, TX 78759
Travis County (866) 289-6337
DR. JACOBY DALE BERGERON DC
Chiropractor
4030 W BRAKER LN, BLDG 4 SUITE 405
AUSTIN, TX 78759
Travis County (218) 688-1454

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.

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 2 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.