DR. KYLE EDWARD BERGBOWER (NPI# 1932476686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932476686 |
| Entity Type | Individual |
| Full Name | DR. KYLE EDWARD BERGBOWER |
| Credential | D.C. |
| Practice Address |
100 W Cumberland St. Greenup IL 62428-0825 |
| Mailing Address |
Po Box 825 Greenup IL 62428-0825 |
| Practice Telephone | 2179230100 |
| Practice Fax Number | 2179230201 |
| Mailing Telephone | 2179230100 |
| Mailing Fax Number | 2179230201 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2012-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-012062 | IL | Chiropractic Providers |
| Street Address |
100 W CUMBERLAND ST. |
| City | GREENUP |
| State | IL |
| Zip Code | 62428-0825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639521479 | Bergbower Chiropractic LLC | Chiropractor | 100 W Cumberland St., Greenup, IL 62428-0825 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568900454 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 302 N Mill St, Greenup, IL 62428 | 2017-02-10 |
| 1396885737 | Troy Layne Warner | Chiropractor | 102 Courthouse Sq., Toledo, IL 62428 | 2007-02-07 |
| 1356401335 | Janis Deann Miller | Nurse Practitioner | 302 North Mill Street, Greenup, IL 62428 | 2006-12-11 |
| 1346423803 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 302 North Mill Street, Greenup, IL 62428 | 2007-12-07 |
| 1942330386 | Village of Greenup | Ambulance | 115e Cumberland Street, Greeenup, IL 62428-0246 | 2007-03-06 |
| 1376740910 | Rural Health Clinic Greenup | Clinic/Center | 302 N Mill, Greenup, IL 62428-0817 | 2007-06-28 |
| 1124184569 | Gregory Jay Dill | Dentist | 102 E Cumberland, Greenup, IL 62428-0818 | 2006-12-29 |
| 1396830154 | Petersen Companies, LLC | Nursing Facility/Intermediate Care Facility | 300 N Marietta St, Greenup, IL 62428-1103 | 2006-10-04 |
| 1033758966 | Cumberland Hco LLC | Skilled Nursing Facility | 300 N Marietta St, Greenup, IL 62428-1103 | 2019-12-23 |
| 1598807497 | Cumberland Hco LLC | Skilled Nursing Facility | 300 N Marietta St, Greenup, IL 62428-1103 | 2007-02-14 |
| Find all providers in zip 62428 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043234339 | Shannon Michael Johnson | Chiropractor | 2021 Ashland Rd, Greenup, KY 41144-1323 | 2006-07-27 |
| 1639521479 | Bergbower Chiropractic LLC | Chiropractor | 100 W Cumberland St., Greenup, IL 62428-0825 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.