Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730763186 Individual Practitioner Male Practitioner

Dr. Jacoby Dale Bergeron , DC

Chiropractor • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacoby Bergeron, DC is a certified Chiropractor practicing in Austin, TX. With approximately 5 years of clinical experience since graduating from Northwestern College Of Chiropractic in 2021, Dr. Bergeron delivers high-quality medical care to the local community at 4030 W BRAKER LN.

Dr. Bergeron accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4030 W Braker Ln
Bldg 4 Suite 405

Austin, TX 787593609

Telephone 2186881454
Associated Practice Facility / Clinic
🏢 Smart Choice Drugstore Facility NPI 1205998614

Medicare Profile & Education

Medical School

Northwestern College Of Chiropractic

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Austin, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -14.4 yrs vs City Avg
City Avg: 19.4 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
427 Specialists

Practicing in Austin, TX (7266 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

Clinical Seniority & Experience Comparison

Dr. Bergeron (5 Years) 5 Yrs
Austin Specialty Average (19.4 Years) 19.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-10-04
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License 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.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 04, 2023

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

📍
Updated Business Mailing Address October 04, 2023

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

👤
Provider Name / Credentials Updated October 04, 2023

Recorded as JACOBY BERGERON, DC

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

Chiropractor (License #15566 in TX)

NPI Profile Active May 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2021

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

📍
Updated Business Mailing Address May 11, 2021

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

👤
Provider Name / Credentials Updated May 11, 2021

Recorded as JACOBY BERGERON

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

Chiropractor (License #1145 in ND)

🟢
Initial NPI Registration & Enumeration May 11, 2021

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: 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

Mailing Address

4030 W Braker Ln, Bldg 4 Suite 405

Austin, TX 787593609

Phone: 2186881454

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.