Individual provider Active NPI

Bradley Philip Hartung, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1285871376
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5986 Issued in OR
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

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220301000354 TX Practitioner - Chiropractic 6800944497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parker UniversityGroup PAC ID 7810945466, 18 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
14958TXMDProfessional Counselor
DC-31577CAMDChiropractor
5986ORMDChiropractor
5169KYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Parker University Chiropractor CurrentSince Dec 6, 2021 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 PastSince Mar 5, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.