Matthew Bertram, DC
Individual provider Active NPI Chiropractor · Evansville, IN
NPI 1619689783 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1619689783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08003353A (IN)
- Practice address
- 111 S Green River Rd Ste H
Evansville, IN 47715-7338 - Phone
- (812) 464-4470
- NPI assigned
- Dec 20, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 S Green River Rd
Suite H
Evansville, IN 47715-7338
Phone (812) 464-4470
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221222002304 | IN | Practitioner - Chiropractic | 3476923095 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilkey Chiropractic Clinic, Inc | Chiropractor | Current |
Accepting new patients |
| Bertram Chiropractic and Wellness LLC | Chiropractor | Current |
Accepting new patients |
Locations
111 S Green River Rd
Ste H
Evansville, IN 47715
Phone (812) 464-4470
7580 Peachwood Dr
Newburgh, IN 47630
Phone (812) 853-2997
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003353A | IN | Yes |
Addresses
Primary practice location
111 S Green River Rd Ste H
Evansville, IN 47715-7338
Mailing address
111 S Green River Rd Ste H
Evansville, IN 47715-7338
Phone (812) 464-4470
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.