Individual provider Active NPI

Briatta Buntjer, DC

  • Chiropractor
  • Longwood, FL
National Provider Identifier
1902559735
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13915 Issued in FL
Practice address
357 Wekiva Springs Rd
Longwood, FL 32779-3607
Phone
(507) 531-6476
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13915 FL Primary

Addresses

Primary practice location

357 Wekiva Springs Rd
Longwood, FL 32779-3607

Mailing address

940 Village TRL Unit 4-302
Port Orange, FL 32127-9380
Phone (507) 531-6476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH13915FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
BB Chiropractic LLC CurrentSince Apr 17, 2022 Accepting new patients

Organizations & group practices 1

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1902559735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 VILLAGE TRL UNIT 4-302",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279380",
            "telephone_number": "507-531-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WEKIVA SPRINGS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793607",
            "telephone_number": "507-531-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTJER",
        "first_name": "BRIATTA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.