Doctor Name: | DAVID GORDON BEARDEN |
NPI Number: | 1356409163 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH3585 |
Business Practice Address: | 1302 N Main St Shelbyville, TN - 371602385 |
Business Phone Number: | 9316802830 |
Business Fax Number: | 9316802882 |
Mailing Address: | Po Box 1831, SHELBYVILLE |
State: | TN |
Postal Code: | 371621831 |
Phone Number: | 9316802830 |
Fax Number: | 9316802882 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH3585 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |