Active NPI
Timothy Thomas Bertsch, DC
- Internist Chiropractor
- Champlin, MN
National Provider Identifier
1437154671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 2076
- Practice address
- 12217 Champlin Dr
Champlin, MN 55316-1930 - Phone
- (763) 323-1492
- NPI assigned
- Jun 15, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 2076 | MN | Primary |
Addresses
Primary practice location
12217 Champlin Dr
Champlin, MN 55316-1930
Mailing address
12217 Champlin Dr
Champlin, MN 55316-1930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Health Care Clinic PC | Internist | Current | Accepting new patients |
Locations
12217 Champlin Dr
Champlin, MN 55316
Phone (763) 323-1492
Interoperability endpoints
- timothybertsch@thccp-mn.direct.office.nextgen.com
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": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437154671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12217 CHAMPLIN DR",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553161930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12217 CHAMPLIN DR",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553161930",
"telephone_number": "763-323-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTSCH",
"first_name": "TIMOTHY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "MN",
"license": "2076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champlin, MN
- Phillip William Berg, D.C.
- Loren Bergstedt, LPC, LADC
- Kristi J Berry, L.AC.
- Jay Patrick Bertsch, D.C.
- Joseph Alan Bertsch, DC
- Betty Care Services LLC
- Amy Bianchi-Rossi, LPCC
- Bickford of Champlin, LLC
- Bio-Medical Applications of Minnesota, Inc. (Fresenius Medical Care of Champlin)
- Alexander W Blidi, DOCTOR OF HEALTH INF
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.