Active NPI
Michael Patrick Bartell, D.C.
- Chiropractor
- North Bend, OR
National Provider Identifier
1184720229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5921
- Practice address
- 400 Virginia Ave Ste 114
North Bend, OR 97459-3477 - Phone
- (541) 808-9697
- Fax
- (541) 808-9699
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR0006933 | CO | |
| Chiropractor | 111N00000X | 038-007339 | IL | |
| Chiropractor | 111N00000X | 5921 | OR | Primary |
Addresses
Primary practice location
400 Virginia Ave Ste 114
North Bend, OR 97459-3477
Mailing address
400 Virginia Ave Ste 114
North Bend, OR 97459-3477
Phone (630) 205-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4527478 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2182 Broadway Ave
North Bend, OR 97459-2330
50219 Hwy 101
Bandon, OR 97411-8242
Phone (630) 205-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR0006933 | CO | MD | Chiropractor |
| 038-007339 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Rehabilitation Associates, Inc. | Chiropractor | Past | Accepting new patients |
| Dupage Health and Wellness Centers, LTD | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- North Bend, OR
- NPI 1306315056
-
- Chiropractor
- Oswego, IL
- NPI 1477671873
-
- Chiropractor
- Glen Ellyn, IL
- NPI 1891913828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1184720229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 VIRGINIA AVE STE 114",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593477",
"telephone_number": "630-205-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 VIRGINIA AVE STE 114",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974593477",
"telephone_number": "541-808-9697",
"fax_number": "541-808-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTELL",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR0006933",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-007339",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4527478",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.