Organization Active NPI

Bartley Chiropractic, Inc.

  • Chiropractor
  • Jasper, IN
National Provider Identifier
1356500482
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001246A Issued in IN
Legal business name
BARTLEY CHIROPRACTIC, INC.
Practice address
629 Main St
Jasper, IN 47546-3040
Phone
(812) 482-6600
Fax
(812) 482-6615
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. Keith M Bartley, D.C.NPI 1851498984
Title
Owner
Phone
(812) 482-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001246A IN Primary

Addresses

Primary practice location

629 Main St
Jasper, IN 47546-3040

Mailing address

629 Main St
Jasper, IN 47546-3040
Phone (812) 482-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000585 IN Part B Supplier - Clinic/Group Practice 3375615479 Receives reassigned benefits from 1 practitioner
Practice locations: Jasper, IN

National Provider Directory

National Provider Directory

Locations

629 Main St
Jasper, IN 47546
Phone (812) 482-6600

1201 Main St
Jasper, IN 47546
Phone (812) 482-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1356500482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463040",
            "telephone_number": "812-482-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463040",
            "telephone_number": "812-482-6600",
            "fax_number": "812-482-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLEY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-482-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001246A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.