Individual provider Active NPI

Brian Martin Bartholomew, D.C.

  • Chiropractor
  • Lansing, NY
National Provider Identifier
1235319328
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011469 Issued in NY
Practice address
3100 N Triphammer Rd
Lansing, NY 14882-8906
Phone
(607) 533-0128
Fax
(607) 533-0129
NPI assigned
Nov 6, 2007
Last updated
Sep 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011469 NY Primary

Addresses

Primary practice location

3100 N Triphammer Rd
Lansing, NY 14882-8906

Mailing address

3100 N Triphammer Rd
Lansing, NY 14882-8906
Phone (607) 533-0128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071218000197 NY Practitioner - Chiropractic 6406946144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartholomew Family Chiropractic, LLCGroup PAC ID 9133263874, 3 clinicians

Practice addresses (Care Compare)

2415 N Triphammer Rd
Ithaca, NY 14850-1093
Phone (607) 257-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011469NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Molino Physical Therapy, PLLC CurrentSince Oct 1, 2009 Accepting new patients

Locations

2415 N Triphammer Rd
Ithaca, NY 14850
Phone (607) 257-7878

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1235319328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N TRIPHAMMER RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148828906",
            "telephone_number": "607-533-0128",
            "fax_number": "607-533-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N TRIPHAMMER RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148828906",
            "telephone_number": "607-533-0128",
            "fax_number": "607-533-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "BRIAN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.