MEDICARE: BIERLY FAMILY CHIROPRACTIC INC.

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	4568	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DG7301	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780782045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIERLY FAMILY CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	236 E WOODFORD ST
Second Line	:
City	:	LAWRENCEBURG
State	:	KY
Zip	:	40342-1144
Country	:	US
Telephone Number	:	502-859-9075
Fax Number	:	502-859-9076

Provider Business Practice Location Address
First Line	:	236 E WOODFORD ST
Second Line	:
City	:	LAWRENCEBURG
State	:	KY
Zip	:	40342-1144
Country	:	US
Telephone Number	:	502-859-9075
Fax Number	:	502-859-9076

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN JAY BIERLY
Credential	:	D.C.
Telephone Number	:	502-859-9075

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/17/2014

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