Jay Patrick Bertsch, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2766 Issued in MN

Practice address

12217 Champlin Dr
Champlin, MN 55316-1930

Phone

(763) 323-1492

NPI assigned

Jun 13, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Team Health Care Clinic PCGroup PAC ID 4183638885, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaybertsch@thccp-mn.direct.office.nextgen.com

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

• Team Health Care Clinic PC

  dba Team Care Clinic

  • Chiropractor
  • Champlin, MN
  • NPI 1457458689
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164426607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 CHAMPLIN DR",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12217 CHAMPLIN DR",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161930",
            "telephone_number": "763-323-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTSCH",
        "first_name": "JAY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124328400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Marie Benson, PSY. D., LP
• Benttella Investments LLC
• Phillip William Berg, D.C.
• Loren Bergstedt, LPC, LADC
• Kristi J Berry, L.AC.
• Joseph Alan Bertsch, DC
• Timothy Thomas Bertsch, DC
• Betty Care Services LLC
• Amy Bianchi-Rossi, LPCC
• Bickford of Champlin, LLC

• Chiropractor in Champlin, MN
• Providers in Champlin, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.