Louis P Bertulfo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13612 Issued in TX

Practice address

4740 SH 121 Ste 200
Lewisville, TX 75056-2917

Phone

(214) 618-9502

NPI assigned

Jan 15, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revyv Me, LLC

  • Chiropractor
  • Lewisville, TX
  • NPI 1518328145
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1053951228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ADVENTUROUS SHIELD DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565409",
            "telephone_number": "972-971-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 SH 121 STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750562917",
            "telephone_number": "214-618-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTULFO",
        "first_name": "LOUIS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Veradigm",
            "affiliation": "N",
            "endpointDescription": "e-courier",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4740 Sh 121 Ste 200",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750562917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breck Layne Bennett, DDS
• Michelle Lynn Bergamini-Bjornberg, M.S., PT
• Christina Bergman, MA
• Bernardo Behrens OD PLLC
• Berryc. LLC
• Timothy A. Beste, M.D.
• Bethesda, Incorporated
• Betta Acute General Surgery PLLC
• Better Health Diagnostics
• Better Homes Counseling Services

• Chiropractor in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.