Individual provider Active NPI

Lawrence Bronstein, DC CNS DACBN

  • Chiropractor
  • Great Barrington, MA
National Provider Identifier
1295721660
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1597 Issued in MA
Practice address
15 Mahaiwe St
Great Barrington, MA 01230-1901
Phone
(413) 528-2948
Fax
(413) 528-5404
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 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 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

Other identifiers 2

IdentifierTypeStateIssuer
351202OtherHARVARD PILGRIM
Y36159MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1597MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "351202",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Y36159",
            "state": "MA"
        }
    ],
    "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.

Verify at the official NPI Registry.