ERIC J BERSETH, D.C. — NPI 1003904210 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation in MADISON, IN)

CMS-1500 Box 24J / 33a • NPI

1003904210

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NR0400X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation

Box 32 Service Location & ZIP+4

2432 CLIFTY DR, MADISON, IN, 47250-1636

✓ 9-Digit EDI 837 ZIP+4 (47250-1636)

Practice Phone & Referral Fax

(812) 265-1000

Fax: (812) 265-6994

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003904210 (ERIC J BERSETH, D.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1003904210` (NPI-1 Individual Practitioner)
Provider / Legal Name	ERIC J BERSETH, D.C.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation NUCC Code: `111NR0400X` (Chiropractor, Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2432 CLIFTY DR, MADISON, IN, 47250-1636
Practice Telephone / Fax	Tel: (812) 265-1000 \| Fax: (812) 265-6994
Administrative Mailing Address	2432 CLIFTY DR, MADISON, IN, 47250-1636
Enumeration & Last Sync	Enumerated: 2006-10-11 \| CMS Record Updated: 2010-03-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2432 CLIFTY DR, MADISON, IN, 47250-1636

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Plain-English Taxonomy & CMS Crosswalk (111NR0400X)

What Does Taxonomy Code 111NR0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NR0400X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ERIC J BERSETH, D.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NR0200X` — Chiropractor, Radiology Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Radiology	State: IN \| License: `08001646` \| Primary: Secondary
`111NR0400X` — Chiropractor, Rehabilitation Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Rehabilitation	State: IN \| License: `08001646` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ERIC J BERSETH, D.C. (NPI #1003904210)