NBCE is the National Board of Chiropractic Examiners, an independent organization that creates and administers standardized exams chiropractic students must pass to earn a license. NBCE exams test knowledge and clinical skills required for safe, effective chiropractic practice in the United States.
Category
Licensing examination
Used for
Chiropractic licensure in the U.S.
Common confusion
NBCE is not a school or degree—it’s the testing organization
Also called
National Board of Chiropractic Examiners

The National Board of Chiropractic Examiners (NBCE) is a group. It's independent and nonprofit. They make tests for chiropractors.
Related glossary terms: Chiropractic License, Doctor of Chiropractic, Chiropractic School.
These tests help people become licensed chiropractors. You need a license to work in the U.S. The NBCE makes sure all chiropractors meet the same standards.
It doesn't matter which school they went to. The standards are the same for everyone.
Students take NBCE tests during school. They usually start in their third year. The tests cover many topics.
Topics include anatomy (body parts) and physiology (how the body works). They also test diagnosis (finding problems) and chiropractic methods.
You must pass these tests to get a license. Without them, you can't work as a chiropractor.
NBCE tests have several parts. Each part focuses on different things. The main tests are Parts I, II, III. And IV.
Part I covers basic sciences. These include anatomy, physiology. And chemistry. Part II tests clinical sciences.
Clinical sciences include diagnosis and chiropractic rules. Part III is about case management (handling patient cases).
Part IV is a hands-on test. It checks skills like adjusting the spine. It also tests how well you check patients.
The NBCE makes tests the same for everyone. This means fairness. Everyone takes the test under the same rules.
Tests are given at centers across the country. Results go to state licensing boards (groups that give licenses).
Some states need more tests. But NBCE tests are needed everywhere in the U.S.

NBCE tests help keep patients safe. They set a national standard. This makes sure all chiropractors know their job.
Without these tests, there's no way to check skills. Patients can trust their chiropractor passed tough tests.
The tests cover book knowledge and hands-on skills.
For students, NBCE tests are a big step. Passing them is often needed to graduate. You need the results to get a license.
The tests show where students need more help. This makes sure they're ready to treat patients.
NBCE tests matter most when students become pros. Students take Parts I and II in their third and fourth years.
They take Parts III and IV after school. These tests are also key for moving to a new state.
Most states want NBCE results. This is true even if you're already licensed elsewhere.
For patients, NBCE tests help pick a chiropractor. The NBCE doesn't say who's best.
But passing these tests means they meet national rules. In Savannah, GA, these tests help find safe, skilled chiropractors.
This is true in every U.S. City.
Chiropractic schools educate students. While NBCE exams test whether students meet national competency standards for licensure.
State licensing boards issue chiropractic licenses. But they rely on NBCE exam results to determine if applicants meet national standards.
While NBCE exams set a baseline for competency, they do not measure all aspects of clinical skill or patient outcomes. Continuing education and practical local experience are equally important for chiropractors to maintain high standards of care.
A chiropractic student in Savannah, GA, takes NBCE Part I during their third year of school. After graduating, they take Parts III and IV, then submit their exam results to the Georgia Board of Chiropractic Examiners to apply for their license. Once licensed, they can begin practicing in Savannah.
Chiropractic License is an official credential issued by state regulatory boards that permits a chiropractor to legally diagnose, treat. And manage musculoskeletal conditions. Chiropractic Licenses require completing accredited education, passing national exams.
Doctor of Chiropractic is a licensed healthcare professional who specializes in diagnosing and treating musculoskeletal disorders, particularly those related to the spine. Doctors of Chiropractic use non-surgical, drug-free approaches such as spinal adjustments, manual therapies. And rehabilitative exercises to improve function and relieve pain. Their education includes a four-year doctoral program accredited by the Council on Chiropractic Education.
Chiropractic School is an accredited educational institution that trains students to become Doctors of Chiropractic (DC). Programs typically require 3-4 years of graduate-level coursework, including anatomy, neurology.
Licensed Chiropractor is a healthcare professional who has completed accredited chiropractic education, passed national board exams. And obtained a state license to diagnose and treat musculoskeletal conditions, primarily through spinal adjustments and manual therapies. This licensing ensures they meet legal and professional standards for safe, evidence-based care.
Board Certified Chiropractor is a chiropractor who has passed additional exams and met strict standards set by a recognized chiropractic specialty board. These chiropractors demonstrate advanced knowledge and skills beyond basic licensing, ensuring higher competence in areas like neurology, orthopedics. Or sports injuries. Certification requires ongoing education and periodic re-examination.
Arrowhead Clinic Chiropractor
Contact Arrowhead Clinic Chiropractor for practical guidance on NBCE and related chiropractor work in Savannah.