Individual provider Active NPI

Mark Bratten, DC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1598485658
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1384 Issued in FL
Practice address
1028 NW 33Rd Ave
Cape Coral, FL 33993-9410
Phone
(503) 841-1403
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH1384 FL Primary

Addresses

Primary practice location

1028 NW 33Rd Ave
Cape Coral, FL 33993-9410

Mailing address

1028 NW 33Rd Ave
Cape Coral, FL 33993-9410
Phone (503) 841-1403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205004210 FL Practitioner - Chiropractic 9931542198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vita Nova Limited IncGroup PAC ID 3870921463, 5 clinicians

Practice addresses (Care Compare)

13720 N Cleveland Ave
Suite B
North Fort Myers, FL 33903-4300
Phone (239) 997-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH1384FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Nova Limited Inc Chiropractor CurrentSince Jan 1, 2024 Accepting new patients

Locations

13720 N Cleveland Ave
North Ft Myers, FL 33903
Phone (239) 997-8100

13720 N Cleveland Ave
Ste B
North Ft Myers, FL 33903
Phone (239) 997-8100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1598485658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 NW 33RD AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339939410",
            "telephone_number": "503-841-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 NW 33RD AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339939410",
            "telephone_number": "503-841-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTEN",
        "first_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH1384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.