Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Mackertich Bamban, DC

Individual provider Nutrition Chiropractor · NPI 1235418807

Dr. John Mackertich Bamban, DC is a Chiropractic in Diberville, Mississippi. Graduated from Life Chiropractic College in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
23
Trained at
Life Chiropractic College
Licensed in
MS
In the registry since
2011
Specialties on file
4
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

11516 Lamey Bridge Rd Ste E
Diberville, MS 39540-2725
Phone: (228) 207-6427
Fax: (228) 207-6428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1179 (MS)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence 1179 (MS)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 1179 (MS)
Rehabilitation Chiropractor Taxonomy 111NR0400X · Licence 1179 (MS)

Record details

NPI number1235418807
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 12, 2011
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount