NPIMap

Organization Active NPI

Bartram Family Chiropractic Inc

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1497035141
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BARTRAM FAMILY CHIROPRACTIC INC
Practice address
13720 Old Saint Augustine Rd
Suite 4
Jacksonville, FL 32258-7414
Phone
(904) 268-9100
Fax
(904) 268-9700
NPI assigned
Aug 26, 2011
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Natalie E Thompson
Title
Owner
Phone
(904) 501-8221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

13720 Old Saint Augustine Rd
Suite 4
Jacksonville, FL 32258-7414

Mailing address

9785 Crosshill Blvd Ste 108
Jacksonville, FL 32222-5823
Phone (904) 268-9100

Other names 1

  • Craig J Oswald Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130905000450 FL Part B Supplier - Clinic/Group Practice 5496998734 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

13720 Old St Augustine Rd
Ste 4
Jacksonville, FL 32258
Phone (904) 268-9100

9785 Crosshill Blvd
Ste 108
Jacksonville, FL 32222
Phone (904) 772-6522

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1497035141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9785 CROSSHILL BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225823",
            "telephone_number": "904-268-9100",
            "fax_number": "904-268-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 OLD SAINT AUGUSTINE RD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587414",
            "telephone_number": "904-268-9100",
            "fax_number": "904-268-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTRAM FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-501-8221"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig J Oswald Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.