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
- 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351202 | Other | HARVARD PILGRIM | |
| Y36159 | Medicaid | MA |
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 | Occupational Therapy Assistant |
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 and National Provider Directory roles.
-
- Nutrition Chiropractor
- Great Barrington, MA
- NPI 1386973584
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.