MEDICARE: DR. BRIAN RAY BERLENER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6253	CO

General Provider Information

NPI Number	:	1689829624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN RAY BERLENER D.C.

Provider Business Mailing Address
First Line	:	7200 E DRY CREEK RD
Second Line	:	A101
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-2537
Country	:	US
Telephone Number	:	303-351-3590
Fax Number	:	303-552-2078

Provider Business Practice Location Address
First Line	:	7200 E DRY CREEK RD
Second Line	:	A101
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-2537
Country	:	US
Telephone Number	:	303-351-3590
Fax Number	:	303-552-2078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2008
Last Update Date	:	11/29/2016

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