9 LOCATIONS TO SERVE YOU:
INJURED? WE CAN HELP!
9 LOCATIONS TO SERVE YOU:
INJURED? WE CAN HELP!
Meet the Team:
Reginal Spine & Pain Care
Lancaster, PA

Brian Bird, D.C.
Doctor of Chiropractic
I graduated from Parker University in Dallas, Texas (formerly Parker College of Chiropractic), having earned my Doctor of Chiropractic degree in 1996. I’ve been a practicing-licensed Chiropractor in Pennsylvania for the past 29 years. Currently, I serve the communities of Lancaster and York. I am partner in Regional Spine and Pain Care West.
I am a Certified Whiplash and Brain Trauma Specialist as awarded by Dr. Arthur Croft of the San Diego Spine Institute. My long-standing experience in the treatment of personal injuries related to motor vehicle accidents, slip-and-fall or work-related incidents is a key component of my practice.
Outside of my clinical work, I thoroughly enjoy deep sea fishing with my brother and friends off the Jersey coast. As a former multi-sport athlete, I continue to enjoy my 20-year+ participation in Brazilian Jiu-Jitsu. Of course, I rarely pass up a round of golf when the opportunity presents itself.

Manish Shah, MD
Pain Management Physician
Manish Shah, MD, is a pain management physician serving patients SEPA Pain & Spine in Limerick, Pennsylvania. He focuses on advanced and minimally invasive pain management treatments to help patients become more active and regain their independence.
Dr. Shah grew up in a small town in upstate New York and received his Bachelor of Science from the University of Buffalo in Buffalo, New York, graduating with the highest honor in both biology and business administration.
He received his medical education from St. George’s University in True Blue, Grenada. He completed his residency in anesthesiology at Penn State Hershey Medical Center in Hershey, Pennsylvania, followed by a fellowship in pain medicine at the University of Florida in Gainesville, Florida.
Dr. Shah is a Diplomate of the American Board of Anesthesiology and dual-certified in both anesthesiology and pain medicine. He obtained certification in Suboxone® therapy in 2021 and is certified by the state of Pennsylvania to register patients in the medical marijuana program.
Before joining SEPA in 2022, he was the lead pain physician for Towerhealth Pottstown Hospital and served the community from 2019 to 2021.
Dr. Shah is married with two young children. He is a strong believer in good nutrition and healthy lifestyle habits. In his free time, he enjoys cooking, spending time with family, and traveling.
Patients Are Saying
As usual they did very well. All the staff is always very nice and the doctors very competent and professional. My wife and I are very satisfied with the results.
-Sidnei Curi
I highly recommend Dr Talarico. He has been so much help to me. He takes his time and gives a GREAT adjustment. His staff is extremely friendly and helpful.
-Nicholas Senuta
Just an incredible practice in terms of both chiropractic services and customer service. As an extremely active person I consult with the clinic frequently and am always impressed and leave feeling better. I honestly couldn’t say enough good things about this practice and the people there.
-Andrew Ezzat
Never disappointed with the care you get at Fraudin Chiropractic. All the staff are super nice and the treatments I get are very effective for me. In the past I have been to several chiropractors but Fraudin is the best I have been to.
-Gary evans
Dr. Tarnow’s treatment really helped alleviate my post-concussion symptoms. His adjustments combined with detailed training exercises gave me the confidence I needed to return to the ice and meet the physical demands of hockey.
-Timmy Hall ECHL Western Denmark Hockey Player
Back and Neck Care Center has been a huge help in strengthening and my off ice training. Having Dr. Tarnow adjust me before and or after training helps me have a better recovery and has improved my posture. The training program has been amazing with all the different blocks in the program working on every body part to make me a better athlete. Also, whenever I get hurt Dr. Tarnow helps me get back ASAP so I can get back to my workout. While I am still in the middle of my training I feel better than ever and can’t wait to see the end results at the beginning of the season.
-Alec Hnat
Back and Neck Care Center has been a huge help in strengthening and my off ice training. Having Dr. Tarnow adjust me before and or after training helps me have a better recovery and has improved my posture. The training program has been amazing with all the different blocks in the program working on every body part to make me a better athlete. Also, whenever I get hurt Dr. Tarnow helps me get back ASAP so I can get back to my workout. While I am still in the middle of my training I feel better than ever and can’t wait to see the end results at the beginning of the season.
-Alec Hnat
From day 1, Dr. Tarnow and his entire staff were nothing short of extraordinary! I began with lower-back problems and a damaged rotator cuff. Just a few months later (approx. 4), I feel 150% better! As a member of the U. S. Air Force, my insurance does not cover chiropractic services; I can go anywhere. And I can tell you, that I will go to BNCC for the rest of my life! I now own two pairs of custom orthotics, a therapeutic pillow, and a host of Biotics® products. Dr. Tarnow explains everything to the Nth degree, and then allows you to make the decision. I have been to several other chiropractors/sports therapists, and BNCC beats them all hands down. I have personally recommended three officers to BNCC. If you believe that health and well-being are at the top of your values and beliefs, then the Back and Neck Care Center is the place for you! Thank you all for the wonderful, friendly, and expert service; you have far exceeded my expectations!
-Dean Scalise U. S. Air Force
Have helped me feel the BEST I have in years! Fantastic treatment, and they it the RIGHT way – from the BASICS to get you feeling better. In addition to helping my joints/muscles, Dr. Tarnow has helped GREATLY with my digestive issues/problems by getting me onto Digestive Enzymes and a probiotic. I have not felt this good in 20 years! FANTASTIC! All of the treatment has helped – these are things I wish I had done a LONG time ago – especially the orthotics, and ESPECIALLY the digestive help – I had suffered with that for over 20 years, and I can’t believe how good I feel now! THANKS!!
-Russ Rosendale Kickboxer
I highly recommend This office. All the Drs are great. After just a few visits , I already feel better. The staff couldn’t be any nicer!! 5 Star experience for sure!!!
-Babs Porter
As usual they did very well. All the staff is always very nice and the doctors very competent and professional. My wife and I are very satisfied with the results.
-Sidnei Curi
Great guy, great Chiropractor! Helped me feel so much better!
-Mike O'Lear
From day 1, Dr. Tarnow and his entire staff were nothing short of extraordinary! I began with lower-back problems and a damaged rotator cuff. Just a few months later (approx. 4), I feel 150% better! As a member of the U. S. Air Force, my insurance does not cover chiropractic services; I can go anywhere. And I can tell you, that I will go to BNCC for the rest of my life! I now own two pairs of custom orthotics, a therapeutic pillow, and a host of Biotics® products. Dr. Tarnow explains everything to the Nth degree, and then allows you to make the decision. I have been to several other chiropractors/sports therapists, and BNCC beats them all hands down. I have personally recommended three officers to BNCC. If you believe that health and well-being are at the top of your values and beliefs, then the Back and Neck Care Center is the place for you! Thank you all for the wonderful, friendly, and expert service; you have far exceeded my expectations!
-Dean Scalise U. S. Air Force
The staff are friendly and professional. Dr Talarico gives personal attention and a good adjustment. I would definitely recommend.
-James Strong
Dr. Talarico and staff have been a blessing to me. He has always helped me and can see me right away. I am thankful I have found his office and I look forward to every visit.
-Mike Mills
I really like the flexibility of your office. I have been out of town for three weeks and Monday the 11th , which is today, is the first time I have been able to schedule an appointment and was able to get in the same day. There is really nothing I don’t like. I can honestly say that Dr. Tarnow made a big difference in how my back felt from the very first visit. He also made me understand more about how the back works and what I need to do to keep it healthy.
-Tom Mayer
Dr. Tarnow’s treatment really helped alleviate my post-concussion symptoms. His adjustments combined with detailed training exercises gave me the confidence I needed to return to the ice and meet the physical demands of hockey.
-Timmy Hall ECHL Western Denmark Hockey Player
I really like the flexibility of your office. I have been out of town for three weeks and Monday the 11th , which is today, is the first time I have been able to schedule an appointment and was able to get in the same day. There is really nothing I don’t like. I can honestly say that Dr. Tarnow made a big difference in how my back felt from the very first visit. He also made me understand more about how the back works and what I need to do to keep it healthy.
-Tom Mayer
Friendly answers any and all my questions and fixes me up good as new. Dr John is the best in the Burgh. All around great guy. I just love him. I highly recommend him.
-Denise Maloney
I highly recommend This office. All the Drs are great. After just a few visits , I already feel better. The staff couldn’t be any nicer!! 5 Star experience for sure!!!
-Babs Porter
I recently purchased a pair of women’s dress shoes with orthotics from Foot Levelers. I was pleasantly surprised – the orthotics are full length. The shoes are extremely comfortable, and I REALLY, REALLY like them. I would highly recommend them to anyone looking for dress shoes that are comfortable.
-Elaine Springel
Never disappointed with the care you get at Fraudin Chiropractic. All the staff are super nice and the treatments I get are very effective for me. In the past I have been to several chiropractors but Fraudin is the best I have been to.
-Gary evans
Love the doctors and staff of Fraudin Chiropractic! Initially I was very uneducated with regard to chiropractic care, thinking it was just for back and leg pain. Through the years, my family has come to appreciate the overall benefits received from chiropractic care which has improve our immune systems and general health. You will not be disappointed if you go to Fraudin Chiropractic!
-Marianne Moulden
Great guy, great Chiropractor! Helped me feel so much better!
-Mike O'Lear
I highly recommend Dr Talarico. He has been so much help to me. He takes his time and gives a GREAT adjustment. His staff is extremely friendly and helpful.
-Nicholas Senuta
Kind People
-Bob Seesaw
I recently purchased a pair of women’s dress shoes with orthotics from Foot Levelers. I was pleasantly surprised – the orthotics are full length. The shoes are extremely comfortable, and I REALLY, REALLY like them. I would highly recommend them to anyone looking for dress shoes that are comfortable.
-Elaine Springel
Just an incredible practice in terms of both chiropractic services and customer service. As an extremely active person I consult with the clinic frequently and am always impressed and leave feeling better. I honestly couldn’t say enough good things about this practice and the people there.
-Andrew Ezzat
Love the doctors and staff of Fraudin Chiropractic! Initially I was very uneducated with regard to chiropractic care, thinking it was just for back and leg pain. Through the years, my family has come to appreciate the overall benefits received from chiropractic care which has improve our immune systems and general health. You will not be disappointed if you go to Fraudin Chiropractic!
-Marianne Moulden
I have been seeing Dr. John for 35 years. The first time was in 7th grade when I pulled my hamstring and groin at the same time and I could walk. I walked out of there that day and have been going to him ever since. He and his staff are caring people that will help in any way they can. I highly recommend him to anyone especially if you are thinking about going to your doctor first to get x-rays, MRI’s, shots, pain pills. This is a healthy alternative that has you back on your feet quickly because you get to the root of the problem.
-Kristen Gabrielli
Kind People
-Bob Seesaw
We first came to Dr. Tarnow when we found out our oldest son, Tanner, had an inverted sternum and was going to need surgery. The surgeon said he was a severe case and would need to have a bar inserted into his chest and it would remain there for three years. We wanted to make sure that we had exhausted all other options before agreeing to such an invasive surgery. Our son starting work with Coach Bobby George to try to build the cartilage surrounding his sternum and improve his posture. We have had him in the program for two months and are very pleased with the results. We have returned to see the surgeon, and our son is not going to need the surgery at this time. We are so grateful for Dr. Tarnow, Coach Bobby and the other trainers for helping our son with natural methods.
-Lori Feely Mother to Aligned-Trained Athlete Montana “Tanner” Feely
I have been adjusted for the past 40 yrs. Dr Talarico is one of the best ever! He is friendly, caring and thorough. He makes you feel at ease and gives great care. I have recommended Dr Talarico many times!
-Gary Weinstein
We first came to Dr. Tarnow when we found out our oldest son, Tanner, had an inverted sternum and was going to need surgery. The surgeon said he was a severe case and would need to have a bar inserted into his chest and it would remain there for three years. We wanted to make sure that we had exhausted all other options before agreeing to such an invasive surgery. Our son starting work with Coach Bobby George to try to build the cartilage surrounding his sternum and improve his posture. We have had him in the program for two months and are very pleased with the results. We have returned to see the surgeon, and our son is not going to need the surgery at this time. We are so grateful for Dr. Tarnow, Coach Bobby and the other trainers for helping our son with natural methods.
-Lori Feely Mother to Aligned-Trained Athlete Montana “Tanner” Feely
I have had the best experience at this office! I was brand new to Chiropractic care and when I had a recent back issue this office was so accommodating, welcoming, and quick to explain and treat my issues! I can’t recommend this office enough! If you are new to Chiropractic care, or if you are looking for a great new team to get you back to health, this office will exceed your expectations!
-Wes Howard
Friendly answers any and all my questions and fixes me up good as new. Dr John is the best in the Burgh. All around great guy. I just love him. I highly recommend him.
-Denise Maloney
The staff are friendly and professional. Dr Talarico gives personal attention and a good adjustment. I would definitely recommend.
-James Strong
I have been adjusted for the past 40 yrs. Dr Talarico is one of the best ever! He is friendly, caring and thorough. He makes you feel at ease and gives great care. I have recommended Dr Talarico many times!
-Gary Weinstein
Have helped me feel the BEST I have in years! Fantastic treatment, and they it the RIGHT way – from the BASICS to get you feeling better. In addition to helping my joints/muscles, Dr. Tarnow has helped GREATLY with my digestive issues/problems by getting me onto Digestive Enzymes and a probiotic. I have not felt this good in 20 years! FANTASTIC! All of the treatment has helped – these are things I wish I had done a LONG time ago – especially the orthotics, and ESPECIALLY the digestive help – I had suffered with that for over 20 years, and I can’t believe how good I feel now! THANKS!!
-Russ Rosendale Kickboxer
I have had the best experience at this office! I was brand new to Chiropractic care and when I had a recent back issue this office was so accommodating, welcoming, and quick to explain and treat my issues! I can’t recommend this office enough! If you are new to Chiropractic care, or if you are looking for a great new team to get you back to health, this office will exceed your expectations!
-Wes Howard
I have been seeing Dr. John for 35 years. The first time was in 7th grade when I pulled my hamstring and groin at the same time and I could walk. I walked out of there that day and have been going to him ever since. He and his staff are caring people that will help in any way they can. I highly recommend him to anyone especially if you are thinking about going to your doctor first to get x-rays, MRI’s, shots, pain pills. This is a healthy alternative that has you back on your feet quickly because you get to the root of the problem.
-Kristen Gabrielli
Dr. Talarico and staff have been a blessing to me. He has always helped me and can see me right away. I am thankful I have found his office and I look forward to every visit.
-Mike Mills
2 Locations To Serve You
PA Location
NJ Location
© 2026 Regional Spine & Pain Care. All rights reserved.