Individual provider Active NPI

Julia Bertoline, DC

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1194866012
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006365L Issued in PA
Practice address
3424 William Penn Hwy
Suite #168
Pittsburgh, PA 15235-5444
Phone
(412) 823-2180
Fax
(412) 823-6165
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006365L PA Primary

Addresses

Primary practice location

3424 William Penn Hwy
Suite #168
Pittsburgh, PA 15235-5444

Mailing address

3424 William Penn Hwy
Suite #168
Pittsburgh, PA 15235-5444
Phone (412) 823-2180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000403 PA Practitioner - Chiropractic 6305808940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Center Chiropractic Clinic PC Chiropractor CurrentSince Oct 22, 2011 Accepting new patients

Locations

3424 William Penn Hwy
Ste 168
Pittsburgh, PA 15235
Phone (412) 823-2180

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1194866012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 WILLIAM PENN HWY",
            "address_2": "SUITE #168",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355444",
            "telephone_number": "412-823-2180",
            "fax_number": "412-823-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 WILLIAM PENN HWY",
            "address_2": "SUITE #168",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355444",
            "telephone_number": "412-823-2180",
            "fax_number": "412-823-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLINE",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006365L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

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