Organization Active NPI

Robert W Baritz, PC

  • Chiropractor
  • Brockton, MA
National Provider Identifier
1194762476
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
968 Issued in MA
Legal business name
ROBERT W BARITZ, PC
Practice address
450 Pleasant St
Suite 3
Brockton, MA 02301-2536
Phone
(508) 583-2565
Fax
(508) 580-2477
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Dr. Robert W Baritz, D.C.NPI 1659346849
Title
President
Phone
(508) 583-2565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 968 MA Primary

Addresses

Primary practice location

450 Pleasant St
Suite 3
Brockton, MA 02301-2536

Mailing address

450 Pleasant St
Suite 3
Brockton, MA 02301-2536
Phone (508) 583-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060621000214 MA Part B Supplier - Clinic/Group Practice 9537171244 Receives reassigned benefits from 2 practitioners
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Locations

450 Pleasant St
Brockton, MA 02301
Phone (508) 583-2565

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1194762476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PLEASANT ST",
            "address_2": "SUITE 3",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012536",
            "telephone_number": "508-583-2565",
            "fax_number": "508-580-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PLEASANT ST",
            "address_2": "SUITE 3",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012536",
            "telephone_number": "508-583-2565",
            "fax_number": "508-580-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W BARITZ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "BARITZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-583-2565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.