Active NPI
Bradley Philip Hartung, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1285871376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5986
- Practice address
- 2900 NE 132ND Ave
Portland, OR 97230-3014 - Phone
- (503) 255-6771
- Fax
- (503) 251-5794
- NPI assigned
- Jan 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-31577 | CA | |
| Chiropractor | 111N00000X | 5986 | OR | Primary |
Addresses
Primary practice location
2900 NE 132ND Ave
Portland, OR 97230-3014
Mailing address
2900 NE 132ND Ave
Portland, OR 97230-3014
Phone (503) 255-6771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Electronic LN
Dallas, TX 75220-1216
Phone (972) 438-6932
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14958 | TX | MD | Professional Counselor |
| DC-31577 | CA | MD | Chiropractor |
| 5986 | OR | MD | Chiropractor |
| 5169 | KY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker University | Chiropractor | Current | Accepting new patients |
| Rettay Chiropractic Office PSC | Chiropractor | Past | Accepting new patients |
| Robert Hinde Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
| Robert Hinde Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Meadowland Healing Arts PLLC | Chiropractor | Past | Accepting new patients |
| Falmouth Chiropractic Center PLLC | Chiropractor | Past | Accepting new patients |
Locations
2600 Electronic Ln
Dallas, TX 75220
Phone (972) 438-6932
2540 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 902-3447
111 S Delaware St
Irving, TX 75060
Phone (214) 438-9355
Interoperability endpoints
- https://api.platform.athenahealth.com/23964/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
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- NPI 1902033178
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- NPI 1043498322
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- NPI 1811104250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1285871376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NE 132ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972303014",
"telephone_number": "503-255-6771",
"fax_number": "503-251-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 NE 132ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972303014",
"telephone_number": "503-255-6771",
"fax_number": "503-251-5794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTUNG",
"first_name": "BRADLEY",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-12",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-31577",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.