Individual provider Active NPI

Bret Kottler, L.AC., DIPL.AC.

  • Acupuncturist
  • Blue Bell, PA
National Provider Identifier
1174868186
Registry record updated Dec 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001069 Issued in PA
Practice address
1497 Skippack Pike
Unit 2 E
Blue Bell, PA 19422-1211
Phone
(215) 327-7826
NPI assigned
Dec 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK001069 PA Primary

Addresses

Primary practice location

1497 Skippack Pike
Unit 2 E
Blue Bell, PA 19422-1211

Mailing address

1497 Skippack Pike
Unit 2 E
Blue Bell, PA 19422-1211
Phone (215) 327-7826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AK001069PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Eden & Wellness Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354406400000",
    "number": "1174868186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 SKIPPACK PIKE",
            "address_2": "UNIT 2 E",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221211",
            "telephone_number": "215-327-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 SKIPPACK PIKE",
            "address_2": "UNIT 2 E",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221211",
            "telephone_number": "215-327-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTLER",
        "first_name": "BRET",
        "credential": "L.AC., DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-02",
        "last_updated": "2012-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; 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.