Active NPI
Lawrence Bronstein, DC CNS DACBN
- Chiropractor
- Great Barrington, MA
National Provider Identifier
1295721660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1597
- Practice address
- 15 Mahaiwe St
Great Barrington, MA 01230-1901 - Phone
- (413) 528-2948
- Fax
- (413) 528-5404
- NPI assigned
- Sep 21, 2005
- Last updated
- Aug 23, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1597 | MA | Primary |
Addresses
Primary practice location
15 Mahaiwe St
Great Barrington, MA 01230-1901
Mailing address
15 Mahaiwe St
Great Barrington, MA 01230-1901
Phone (413) 528-2948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040928000648 | MA | Practitioner - Chiropractic | 3274502182 | Practice locations: Great Barrington, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1597 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy Bronstein | Past | Accepting new patients |
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, 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": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1295721660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MAHAIWE ST",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301901",
"telephone_number": "413-528-2948",
"fax_number": "413-528-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MAHAIWE ST",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301901",
"telephone_number": "413-528-2948",
"fax_number": "413-528-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONSTEIN",
"first_name": "LAWRENCE",
"credential": "DC CNS DACBN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.