National Board of Chiropractic Examiners is an independent, nonprofit organization that develops and administers standardized exams to assess the knowledge and skills of chiropractic students and graduates. These exams help ensure chiropractors meet national competency standards before obtaining licensure to practice in the United States.
Category
Licensing examination organization
Used for
Chiropractic licensure and competency assessment
Common confusion
Often mistaken for a state licensing board or chiropractic school
Also called
NBCE, Chiropractic National Boards

The National Board of Chiropractic Examiners (NBCE) is an independent organization that plays a critical role in the chiropractic profession. Founded in 1963, the NBCE develops and administers standardized exams that evaluate whether chiropractic students and graduates possess the knowledge and skills needed to practice safely and effectively. These exams serve as a national benchmark, ensuring that all licensed chiropractors meet consistent competency standards regardless of which chiropractic school they attended.
Related glossary terms: Chiropractic License, Chiropractic School, Licensed Chiropractor.
The NBCE operates separately from chiropractic schools and state licensing boards, which helps maintain fairness and objectivity in the testing process. Its exams are recognized by regulatory agencies in all 50 states, the District of Columbia. And several international jurisdictions. This widespread acceptance makes the NBCE a key part of the licensure pathway for aspiring chiropractors across the country.
The NBCE administers several exams that chiropractic students typically take during their education and after graduation. The most well-known is the four-part NBCE exam series, which covers foundational sciences, clinical sciences, diagnostic imaging. And practical skills. Each part tests specific areas, such as anatomy, physiology, chiropractic techniques. And patient diagnosis. The exams are developed by subject-matter experts and undergo rigorous review to ensure they accurately reflect the knowledge and skills required for safe chiropractic practice.
For local customers, Exams are offered at testing centers throughout the United States and internationally, usually in a computer-based format. Students register for the exams through the NBCE website and receive their scores within weeks. Passing these exams is a requirement for licensure in most states. Though some states may have additional requirements, such as jurisprudence exams covering local laws and regulations. The NBCE also offers optional specialty exams for chiropractors pursuing advanced certifications in areas like radiology or neurology.
The NBCE’s exams help protect patients by ensuring that only qualified individuals can become licensed chiropractors. Without a standardized testing process, there would be no consistent way to verify that chiropractors from different schools or regions meet the same competency standards. This consistency is especially important because chiropractic care involves hands-on techniques that require precision, knowledge. And skill to perform safely.
For chiropractic students, passing NBCE exams is a major milestone in their education and career. It demonstrates their readiness to enter the profession and provides a sense of accomplishment. For state licensing boards, the NBCE’s exams simplify the licensure process by providing a reliable, third-party assessment of applicants’ qualifications. This reduces the burden on individual states to develop their own exams and ensures that all licensed chiropractors meet a national standard.
NBCE exams matter most during key moments in a chiropractor’s education and career. For students, these exams are typically taken during the final years of chiropractic school, often around the time of graduation. Passing the exams is a prerequisite for obtaining a license to practice. So students must prepare thoroughly to meet this requirement. For graduates, NBCE exam results are often required when applying for licensure in multiple states, making them essential for chiropractors who plan to practice in more than one location.
The NBCE also plays a role in continuing education and professional development. Some states require chiropractors to pass NBCE exams periodically as part of license renewal, ensuring that their knowledge remains up to date. And chiropractors pursuing specialty certifications may need to take NBCE exams to demonstrate advanced competency in their chosen area. For patients, the NBCE’s role in licensure provides confidence that their chiropractor has met rigorous national standards.
State licensing boards issue licenses and enforce regulations. While the NBCE develops and administers standardized exams. Both work together to ensure chiropractors are qualified.
Chiropractic schools create their own exams for coursework. While the NBCE provides national, standardized tests that assess competency for licensure.
The NBCE exams are designed to reflect real-world chiropractic practice, focusing on both theoretical knowledge and practical skills. Preparing for these exams helps students develop the critical thinking and clinical judgment needed for patient care.
A chiropractic student in Savannah, GA, completes their final year of school and registers for the NBCE’s Part I exam, which covers basic sciences. After passing, they take Part II, which focuses on clinical knowledge. Once all required exams are passed, they apply for licensure in Georgia, where NBCE scores are a key part of the application.
Chiropractic License is an official state-issued credential that permits a practitioner to legally diagnose and treat neuromusculoskeletal conditions using chiropractic methods. It confirms the practitioner has completed accredited education, passed national board exams. And met ethical and competency standards set by state regulatory boards.
Chiropractic School is a graduate-level educational institution that trains students to become licensed chiropractors. It focuses on diagnosing and treating neuromuscular disorders, primarily through manual spinal adjustments and other non-invasive techniques. Programs typically require 3-4 years of study after a bachelor’s degree and include clinical training.
Licensed Chiropractor is a healthcare professional who has completed accredited chiropractic education, passed national board exams. And obtained state licensure to diagnose and treat musculoskeletal conditions, primarily through spinal adjustments and manual therapies. Licensed Chiropractors must adhere to legal standards, continuing education requirements.
Chiropractic Scope of Practice is the set of legally defined procedures, treatments. And services that licensed chiropractors are permitted to perform in a specific state or jurisdiction. It outlines what chiropractors can diagnose, treat. And manage, as well as any restrictions on their practice, ensuring patient safety and professional accountability.
Chiropractic Board is chiropractic Boards are state-level governing bodies that regulate chiropractic practice, license chiropractors, set professional standards. And enforce laws to protect public health. They ensure chiropractors meet education, examination. And ethical requirements before practicing.
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