Active NPI
John M Bartu, D.C.
- Chiropractor
- Grand Island, NE
National Provider Identifier
1992859508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 944
- Practice address
- 702 W 1St St
Grand Island, NE 68801-5806 - Phone
- (308) 381-1090
- Fax
- (308) 389-2300
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 944 | NE | Primary |
Addresses
Primary practice location
702 W 1St St
Grand Island, NE 68801-5806
Mailing address
702 W 1St St
Grand Island, NE 68801-5806
Phone (308) 381-1090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09715 | Other | NE | BLUECROSSBLUESHIELD OF NE |
| 47-074321301 | Medicaid | NE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 944 | KS | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992859508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 W 1ST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688015806",
"telephone_number": "308-381-1090",
"fax_number": "308-389-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W 1ST ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688015806",
"telephone_number": "308-381-1090",
"fax_number": "308-389-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTU",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF NE",
"identifier": "09715",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-074321301",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.