Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1114668019 Deactivated / Inactive NPI Female Practitioner

Dr. Samantha Bergoine , DC

Chiropractor • Edgewater, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samantha Bergoine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 05, 2022
NPI Deactivation Date February 04, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Samantha Bergoine, DC was a registered Chiropractor practicing in Edgewater, FL. Throughout an active medical career spanning 1 years, Dr. Bergoine provided care at the practice location at 3042 S RIDGEWOOD AVE until profile deactivation on 2023-02-04.

Practice Location & Contact Primary Location

Practice Address

3042 S Ridgewood Ave

Edgewater, FL 321415903

Telephone 3862871372
Associated Practice Facility / Clinic
🏢 Pure Chiropractic & Yoga Facility NPI 1134827207

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Edgewater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Edgewater, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-21
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH13852

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.

Secondary Practice Locations

2819 S Asciano Ct

New Smyrna Beach, FL 321686322

Phone: 9546109738

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location March 21, 2023

Registered at 3042 S RIDGEWOOD AVE, EDGEWATER, FL 321415903 (Tel: 3862871372)

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Updated Business Mailing Address March 21, 2023

Registered at 2819 S ASCIANO CT, NEW SMYRNA BEACH, FL 321686322

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Provider Name / Credentials Updated March 21, 2023

Recorded as SAMANTHA BERGOINE, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2023

Chiropractor (License #CH13852 in FL)

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NPI Profile Deactivated February 04, 2023

Record deactivated on February 04, 2023

NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

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Updated Practice Location April 05, 2022

Registered at 2819 S ASCIANO CT, NEW SMYRNA BEACH, FL 321686322 (Tel: 9546109738)

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Updated Business Mailing Address April 05, 2022

Registered at 2819 S ASCIANO CT, NEW SMYRNA BEACH, FL 321686322

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Provider Name / Credentials Updated April 05, 2022

Recorded as SAMANTHA BERGOINE, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Chiropractor (License #CH13852 in FL)

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Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114668019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: March 21, 2023
Deactivation Date: February 04, 2023
Sole Proprietor: Yes

Mailing Address

2819 S Asciano Ct

New Smyrna Beach, FL 321686322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.