Active NPI
Bratcher Injury & Wellness Center, P.a.
- Rehabilitation Chiropractor
- Tyler, TX
National Provider Identifier
1891840666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- BRATCHER INJURY & WELLNESS CENTER, P.A.
- Practice address
- 2140 W. Grande Blvd.
Suite a
Tyler, TX 75703 - Phone
- (903) 561-6676
- Fax
- (903) 561-7071
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luther Burbank Bratcher, D.C.
- Title
- Owner
- Phone
- (903) 561-6676
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
2140 W. Grande Blvd.
Suite a
Tyler, TX 75703
Mailing address
2140 W. Grande Blvd.
Suite a
Tyler, TX 75703
Phone (903) 561-6676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2210 W Grande Blvd
Tyler, TX 75703
Phone (903) 561-5757
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283385600000",
"number": "1891840666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 W. GRANDE BLVD.",
"address_2": "SUITE A",
"city": "TYLER",
"state": "TX",
"postal_code": "75703",
"telephone_number": "903-561-6676",
"fax_number": "903-561-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 W. GRANDE BLVD.",
"address_2": "SUITE A",
"city": "TYLER",
"state": "TX",
"postal_code": "75703",
"telephone_number": "903-561-6676",
"fax_number": "903-561-7071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRATCHER INJURY & WELLNESS CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2010-09-02",
"status": "A",
"authorized_official_last_name": "BRATCHER",
"authorized_official_first_name": "LUTHER",
"authorized_official_middle_name": "BURBANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-561-6676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.