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Deactivated NPI 1760596662 Deactivated / Inactive NPI Male Practitioner

Dr. John P Bergstrom , DC

Chiropractor • Carrollton, GA

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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. John Bergstrom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date March 03, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. John Bergstrom, DC was a registered Chiropractor practicing in Carrollton, GA. Throughout an active medical career spanning 16 years, Dr. Bergstrom provided care at the practice location at 109 EXECUTIVE DR until profile deactivation on 2022-03-03.

Practice Location & Contact Primary Location

Practice Address

109 Executive Dr

Carrollton, GA 30117

Telephone 7708326421
Fax 7708326421

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Carrollton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Carrollton, GA (3375 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA 837

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Susan Butler , MED, LPC, NCC

Counselor - Professional

NPI 1437515822

Master of Education, Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 03, 2022

Record deactivated on March 03, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 109 EXECUTIVE DR, CARROLLTON, GA 30117 (Tel: 7708326421)

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Updated Business Mailing Address July 08, 2007

Registered at 109 EXECUTIVE DR, CARROLLTON, GA 30117 (Tel: 7708326421)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BERGSTROM, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #837 in GA)

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Initial NPI Registration & Enumeration August 18, 2006

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: 1760596662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: March 03, 2022

Mailing Address

109 Executive Dr

Carrollton, GA 30117

Phone: 7708326421

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.