Links to NBCE Exams

The NBCE develops, administers and scores standardized exams that assess knowledge, higher-level cognitive abilities and problem-solving in various basic science and clinical science subjects. The following list are links to NBCE Exams.

Parts I, II, III, and Physiotherapy Exams

These exams are offered at chiropractic colleges in the United States and some international locations.

Part I: Assesses academic proficiency in six basic science areas.

Part IIAssesses academic proficiency in six clinical science areas.

Part IIIAssesses application of knowledge in nine areas of clinical competency.

Physiotherapy: An elective, single subject examination that includes passive adjunctive procedures and active adjunctive procedures.

Part IV National Practical Exam

This exam is offered at chiropractic colleges in the United States.

Part IV: Examinees are asked to perform assessments similar to those they might encounter in practice.

Examinees typically take the NBCE Part I, Part II, Part III and Part IV exams before graduating from chiropractic college. Exam scores are made available to licensing authorities within and outside the United States. In the U.S., all 50 states either accept or require candidates to pass NBCE exams Parts I, II, III, and IV for licensure.

NBCE Testing for Special Exams

These exams are offered at Prometric Testing Centers throughout North America.

Special Purposes Examination for Chiropractic (SPEC)An assessment tool in the area of clinical competency.

AcupunctureIncludes history/philosophy of acupuncture in a chiropractic setting, organs, qi and fluid, channels/pathways, acupoints, acupuncture techniques, basic treatment tenets/protocols, and safety and hygiene.

Nutrition: An assessment of clinical nutrition knowledge developed jointly by the Chiropractic Board of Clinical Nutrition (CBCN) and the National Board of Chiropractic Examiners (NBCE).

Florida Chiropractic Laws and Rules Exam: Required for licensure candidates in the state of Florida.

The Oregon Exams: Two additional exams are required for licensure candidates in the state of Oregon including the Obstetrics, Gynecology and Genitourinary Examination (OGG) and the Minor Surgery and Proctology Examination (MSP).

DABCI: The American Board of Chiropractic Internists written exam is one of the requirements for completing a diplomate degree.


Chiropractic College Aptitude Test

CCAT: Provides the prospective student and his/her chiropractic college with measures of ability in mathematics, biology, chemistry, and physics.


In 2019, the NBCE administered exams to 16,459 individuals.

The NBCE administered Parts I, II, III, and Physiotherapy nine times in 2019: in January, February, March, April, June, July, August, September, and October.

The NBCE administered Part IV in May and November.

Examinees who took Parts I, II, III, and Physiotherapy in 2019

  • January 2019 (1221)
  • February 2019 (1385)
  • March 2019 (2856)
  • April 2019 (1262)
  • June 2019 (1207)
  • July 2019 (1999)
  • August 2019 (1274)
  • September 2019 (1020)
  • October 2019 (1593)

Examinees who took Part IV in 2019

  • May 2019 (1277)
  • November 2019 (1365)


through excellence in testing