OrganizationActiveAccepts Medicare
Bergeron Chiropractic
NPI 1912787136 · Chiropractor · Austin, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1912787136
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jacoby Bergeron, Owner/Manager(218) 688-1454
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4030 W Braker Ln
Bldg 4 Suite 405
Austin, TX 78759
Phone: (218) 688-1454
Street-level locationGet directions
Mailing address
4030 W Braker Ln
Austin, TX 78759
Other names (DBA / former)
- Doing business as
- Stonelake Chiropractic
Registry dates
- Enumerated
- 2023-10-04
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.