Individual provider Active NPI

Julie Cernosek Freeman, DC

  • Chiropractor
  • Hubbard, TX
National Provider Identifier
1730119231
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6290 Issued in TX
Practice address
103 N 2ND St E
Hubbard, TX 76648
Phone
(254) 576-2311
Fax
(254) 576-2997
NPI assigned
Jul 3, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6290 TX Primary

Addresses

Primary practice location

103 N 2ND St E
Hubbard, TX 76648

Mailing address

PO Box 365
Hubbard, TX 76648
Phone (254) 576-2311

Other identifiers 1

IdentifierTypeStateIssuer
8247506OtherTXBLUE LINK NUMBER BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000658 TX Practitioner - Chiropractic 9739373127 Practice locations: Hubbard, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 NE 2ND St
Hubbard, TX 76648-0365
Phone (254) 576-2311

365 PO Box
Hubbard, TX 76648

P O Box
Suite 365
Hubbard, TX 76648-0365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6290TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1730119231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "HUBBARD",
            "state": "TX",
            "postal_code": "76648",
            "telephone_number": "254-576-2311",
            "fax_number": "254-576-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 2ND ST E",
            "city": "HUBBARD",
            "state": "TX",
            "postal_code": "76648",
            "telephone_number": "254-576-2311",
            "fax_number": "254-576-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JULIE",
        "middle_name": "CERNOSEK",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK NUMBER BCBS",
            "identifier": "8247506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.