Individual provider Active NPI

Luther Burbank Bratcher, D.C.

  • Chiropractor
  • Tyler, TX
National Provider Identifier
1326085036
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2246 Issued in TX
Practice address
2210 W Grande Blvd
Tyler, TX 75703-0554
Phone
(903) 561-6676
Fax
(903) 561-7071
NPI assigned
Jun 1, 2006
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2246 TX Primary
Rehabilitation Chiropractor 111NR0400X DC2246 TX

Addresses

Primary practice location

2210 W Grande Blvd
Tyler, TX 75703-0554

Mailing address

2210 W Grande Blvd
Tyler, TX 75703-0554
Phone (903) 561-6676

Other practice location 1

2140 W Grande Blvd
Ste A
Tyler, TX 75703
Phone (903) 561-6676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081210000532 TX Practitioner - Chiropractic 9133280092 Reassigns benefits to 1 organization
Practice locations: Tyler, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2210 W Grande Blvd
Tyler, TX 75703-0554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
DC2246TXMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bratcher Chiropractic Diagnostic Center PC Rehabilitation CurrentSince Jan 1, 1990 Accepting new patients
Bratcher Injury & Wellness Center, P.a. Rehabilitation CurrentSince Jan 13, 2020 Accepting new patients

Locations

2140 W Grande Blvd
#A
Tyler, TX 75703
Phone (903) 251-2765

2210 W Grande Blvd
Tyler, TX 75703
Phone (903) 561-5757

Organizations & group practices 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1326085036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 W GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030554",
            "telephone_number": "903-561-6676",
            "fax_number": "903-561-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 W GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030554",
            "telephone_number": "903-561-6676",
            "fax_number": "903-561-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 W Grande Blvd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "75703",
            "country_code": "US",
            "telephone_number": "903-561-6676",
            "fax_number": "903-561-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATCHER",
        "first_name": "LUTHER",
        "middle_name": "BURBANK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2246",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "DC2246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.