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Dr. Jacoby Dale Bergeron , DC

Chiropractor β€’ Austin, TX

Active NPI 1730763186 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4030 W Braker Ln, Bldg 4 Suite 405
Austin, TX 787593609

Call 2186881454 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4030 W Braker Ln
Bldg 4 Suite 405

Austin, TX 787593609

Telephone 2186881454
Organization at the Same NPPES Address or Phone
Smart Choice Drugstore Facility NPI 1205998614

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Northwestern College Of Chiropractic

Graduation Year

2021

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bergeron has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Austin and Texas

409 active clinicians are listed under Chiropractor with a practice address in Austin, TX (6,982 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

0% of these 409 clinicians have the CMS telehealth indicator.

17.4% of these 409 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-04
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES TX 15566

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20240514002413

Enrollment State Jurisdiction

TX

PECOS Control ID

3870992902

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 04, 2023

Registered at 4030 W BRAKER LN, BLDG 4 SUITE 405, AUSTIN, TX 787593609 (Tel: 2186881454)

πŸ“
Updated Business Mailing Address October 04, 2023

Registered at 4030 W BRAKER LN, BLDG 4 SUITE 405, AUSTIN, TX 787593609 (Tel: 2186881454)

πŸ‘€
Provider Name / Credentials Updated October 04, 2023

Recorded as JACOBY BERGERON, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2023

Chiropractor (license number reported to NPPES: TX 15566)

βœ…
NPI Profile Active May 11, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 11, 2021

Registered at 2625 24TH AVE S STE B, GRAND FORKS, ND 582016539 (Tel: 7017467979)

πŸ“
Business Mailing Address (Initial Record) May 11, 2021

Registered at 2150 47TH AVE S APT 136, GRAND FORKS, ND 582013609 (Tel: 2186881454)

πŸ‘€
Provider Name / Credentials (Initial Record) May 11, 2021

Recorded as JACOBY BERGERON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2021

Chiropractor (license number reported to NPPES: ND 1145)

🟒
Initial NPI Registration & Enumeration May 11, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730763186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2021
Last Update: October 04, 2023
Sole Proprietor: Yes

Other Chiropractors in Austin

All Chiropractors in Austin

Mailing Address

4030 W Braker Ln, Bldg 4 Suite 405

Austin, TX 787593609

Phone: 2186881454

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.