Heart Mountain Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

614 Issued in WY

Legal business name

HEART MOUNTAIN CHIROPRACTIC

Practice address

1543 Bleistein Ave
Cody, WY 82414-3806

Phone

(307) 587-4600

Fax

(307) 527-6949

NPI assigned

Jun 19, 2009

Last updated

Jun 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Bergamini, D.C.NPI 1053486480

Title

Owner

Phone

(307) 587-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 2

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.

• Paul W Bergamini, DC

  • Chiropractor
  • Cody, WY
  • NPI 1053486480
  Medicare reassignment NPD Authorized official
• Edward A Madrid, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1043385479
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1780811539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 BLEISTEIN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143806",
            "telephone_number": "307-587-4600",
            "fax_number": "307-527-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 BLEISTEIN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143806",
            "telephone_number": "307-587-4600",
            "fax_number": "307-527-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MOUNTAIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "BERGAMINI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-587-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Hartley, O.D.
• Tami L Hartnett, MA
• Lisa Ellen Harvey, MD
• Healing Path Counseling, LLC
• Brandy Heard
• Heart Mountain Chiropractic Inc
• Heart Mountain Dental L.L.C.
• Heart Mountain Healthcare LLC
• Heartland Music Therapy Services, LLC (Heartland Music Therapy Learning Center Alpha Bell Music Service)
• Billie-Nicole Hecht

• Chiropractor in Cody, WY
• Providers in Cody, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.