Provider Demographics
NPI:1144945825
Name:BUERGERMEISTER, AUSTIN (DC)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:
Last Name:BUERGERMEISTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 ROYALTON RD
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-6778
Mailing Address - Country:US
Mailing Address - Phone:516-712-5034
Mailing Address - Fax:
Practice Address - Street 1:136 STUTTS RD STE 3
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6403
Practice Address - Country:US
Practice Address - Phone:516-712-5034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5547111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor