NPI
Kody Berrong
NPI 1063871903
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.C.
- Type
- Individual
- Enumeration date
- 2016-02-21
- Last updated
- 2016-05-19
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Specialties
Licenses
- License MO
- 2016002123
Location
- Practice location
- 2725 N Westwood Blvd Ste 13
- City
- Poplar Bluff MO
- Postal code
- 63901-2367
- Phone
- (573) 776-7246
Medicare
Medicare enrollment (PECOS) was not checked for this NPI on this load. The Medicare enrollment lookup checks it directly. This page does not decide enrollment.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Poplar Bluff, MO. 1,809 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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