Penn Center Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006365L Issued in PA

Legal business name

PENN CENTER CHIROPRACTIC CLINIC PC

Doing business as

Dr Bertoline

Practice address

3424 WM Penn Hwy
Suite 168
Pittsburgh, PA 15235

Phone

(412) 823-2180

Fax

(412) 823-6165

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Julia Anne BertolineNPI 1194866012

Title

Owner

Phone

(412) 823-2180

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr Bertoline Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia Bertoline, DC

  • Chiropractor
  • Pittsburgh, PA
  • NPI 1194866012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1730106345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 WM PENN HWY",
            "address_2": "SUITE 168",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-823-2180",
            "fax_number": "412-823-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 WM PENN HWY",
            "address_2": "SUITE 168",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-823-2180",
            "fax_number": "412-823-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN CENTER CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BERTOLINE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-823-2180",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006365L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "AJ006365L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "201965",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9482084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1796384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Bertoline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Jingchi Peng, M.D.
• Alisa B. Penich, PA-C
• Leina Penland
• Brittany Michele Penman, RN
• Penn Center Chiropractic & Rehab PC
• Penn Hills School District
• Penn Home Medical Supply Co., LLC
• Penn Neuromuscular Diagnostics, LLC
• Penn Women'S Counseling
• Penn-Allegheny Nursing and Rehabilitation Center LLC

• Chiropractor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.