Healthcare Provider Details

I. General information

NPI: 1639084221
Provider Name (Legal Business Name): BERNSTEIN NIKROO ELITE SPORTS CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 N MESA DR STE 8W
MESA AZ
85201-5996
US

IV. Provider business mailing address

PO BOX 628
WOODLAND HILLS CA
91365-0628
US

V. Phone/Fax

Practice location:
  • Phone: 602-887-7878
  • Fax: 818-222-1138
Mailing address:
  • Phone: 602-887-7878
  • Fax: 818-222-1138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW BERNSTEIN
Title or Position: OWNER
Credential: DC
Phone: 602-887-7878