BRADY ROBERT FERGOLA DC - NPI 1982263976 - Chiropractor in Boothbay Harbor, ME

Q: What is Brady Fergola's NPI number?

The NPI number for Brady Fergola is 1982263976. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Q: What is Brady Fergola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brady Fergola was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Brady Robert Fergola Dc NPPES

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

BRADY ROBERT FERGOLA DC (NPI 1982263976) is an individual chiropractor in Boothbay Harbor, Maine, licensed in Maine (CR2589) and active in the NPI registry since June 2019. He is a graduate of Logan College Of Chiropractic (2019).

NPPES Registry Identity

NPI1982263976

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameBRADY ROBERT FERGOLACredential: DC

Location Address18 WEST STBoothbay Harbor, ME 04538-1849

Mailing Address14 Marden RdBoothbay, ME 04537-5126 · (207) 357-4541

Phone(207) 633-5500

Fax(207) 633-0805

Sole ProprietorYes

Medical School CMSLogan College Of ChiropracticGraduated 2019

Enumeration DateJune 12, 2019

✔ NPI 1982263976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in ME · CR2589

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.

18 WEST ST, Boothbay Harbor, ME 04538

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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brady Robert Fergola Dc 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 ID9234535667

PECOS Enrollment IDI20210909001667

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

240 services34 patients

Other Providers at the Same Location NPPES 5

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

MS. SUSAN EILEEN WEBSTER LMT

Massage Therapist