Individual provider Active NPI

Bret Hartman, D.C.

  • Chiropractor
  • Lake Hopatcong, NJ
National Provider Identifier
1477687101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00610300 Issued in NJ
Practice address
21 Bowling Green Pkwy
Suite 201
Lake Hopatcong, NJ 07849-3200
Phone
(973) 663-5633
Fax
(973) 663-5762
NPI assigned
Mar 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00610300 NJ Primary

Addresses

Primary practice location

21 Bowling Green Pkwy
Suite 201
Lake Hopatcong, NJ 07849-3200

Mailing address

21 Bowling Green Pkwy
Suite 201
Lake Hopatcong, NJ 07849-3200
Phone (973) 663-5633

Other identifiers 1

IdentifierTypeStateIssuer
5808467OtherNJGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000646 NJ Practitioner - Chiropractic 6204862899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Wellness of NJ, Inc.Group PAC ID 6608031380, 2 clinicians

Practice addresses (Care Compare)

28 Bowling Green Pkwy
Lake Hopatcong, NJ 07849-2445
Phone (973) 663-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00610300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness of NJ, Inc. Chiropractor CurrentSince Jul 1, 2013 Accepting new patients
Bret Hartman DC PC Chiropractor Past Accepting new patients
Chiropractic Wellness Solutions Chiropractor PastSince Jun 14, 2016 Accepting new patients

Locations

28 Bowling Green Pkwy
Ste 1A
Lake Hopatcong, NJ 07849
Phone (973) 663-5633

21 Bowling Green Pkwy
Ste 201
Lk Hopatcong, NJ 07849
Phone (973) 663-5633

Organizations & group practices 3

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477687101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BOWLING GREEN PKWY",
            "address_2": "SUITE 201",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078493200",
            "telephone_number": "973-663-5633",
            "fax_number": "973-663-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BOWLING GREEN PKWY",
            "address_2": "SUITE 201",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078493200",
            "telephone_number": "973-663-5633",
            "fax_number": "973-663-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "BRET",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00610300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5808467",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

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.
  • 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.