NPIMap

Organization Active NPI

Bert Chronister, M.D., P.a.

  • Clinic/Center
  • Neodesha, KS
National Provider Identifier
1720176498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
13253 Issued in KS
Legal business name
BERT CHRONISTER, M.D., P.A.
Practice address
806 Main St
Neodesha, KS 66757-1673
Phone
(620) 325-2622
Fax
(620) 325-5380
NPI assigned
Oct 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bert Chronister, M.D.NPI 1104938430
Title
Owner
Phone
(620) 325-2622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 13253 KS Primary

Addresses

Primary practice location

806 Main St
Neodesha, KS 66757-1673

Mailing address

806 Main St
P.O. Box 118
Neodesha, KS 66757-1673
Phone (620) 325-2622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720176498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 MAIN ST",
            "address_2": "P.O. BOX 118",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571673",
            "telephone_number": "620-325-2622",
            "fax_number": "620-325-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 MAIN ST",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571673",
            "telephone_number": "620-325-2622",
            "fax_number": "620-325-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT CHRONISTER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRONISTER",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-325-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "13253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neodesha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.