Individual provider Active NPI

Nicklaus August Schram, DC

  • Chiropractor
  • Bardstown, KY
National Provider Identifier
1760718704
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5248 Issued in KY
Practice address
201 Culpeper St
Bardstown, KY 40004-3227
Phone
(502) 349-2009
Fax
(502) 349-3090
NPI assigned
Oct 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-011541 IL
Chiropractor 111N00000X 5248 KY Primary
Chiropractor 111N00000X 08002825A IN

Addresses

Primary practice location

201 Culpeper St
Bardstown, KY 40004-3227

Mailing address

201 Culpeper St
Bardstown, KY 40004-3227
Phone (502) 349-2009

Other identifiers 1

IdentifierTypeStateIssuer
7100164500MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000177 KY Practitioner - Chiropractic 9638211816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 Culpeper St
Bardstown, KY 40004-3227
Phone (502) 349-2009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-011541ILMDChiropractor
08002825AINMDChiropractor
5248KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicklaus a. Schram, D.C., PLLC Chiropractor CurrentSince Apr 18, 2014 Accepting new patients
Schram Chiropractic Clinic PC Chiropractor PastSince Dec 22, 2008 Accepting new patients
William C. Eriksen, PSC Chiropractor PastSince Jun 6, 2015 Accepting new patients
Schram Chiropractic LTD Chiropractor PastSince Oct 17, 2021 Accepting new patients

Locations

201 Culpeper St
Bardstown, KY 40004
Phone (502) 349-2009

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1760718704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CULPEPER ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043227",
            "telephone_number": "502-349-2009",
            "fax_number": "502-349-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CULPEPER ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043227",
            "telephone_number": "502-349-2009",
            "fax_number": "502-349-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAM",
        "first_name": "NICKLAUS",
        "middle_name": "AUGUST",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-011541",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5248",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002825A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100164500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.