DR. LOUIS P BERTULFO (NPI# 1053951228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053951228 |
| Entity Type | Individual |
| Full Name | DR. LOUIS P BERTULFO |
| Credential | DC |
| Practice Address |
4740 Sh 121 Ste 200 Lewisville TX 75056-2917 |
| Mailing Address |
417 Adventurous Shield Dr Lewisville TX 75056-5409 |
| Practice Telephone | 2146189502 |
| Mailing Telephone | 9729718614 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13612 | TX | Chiropractic Providers |
| Street Address |
4740 SH 121 STE 200 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75056-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253650 | Geneiq LLC | Clinical Medical Laboratory | 2716 Standridge Drive, Floor 2 Ste 204, The Colony, TX 75056 | 2020-04-06 |
| 1952947863 | Luisa Collins | Registered Nurse | 6805 Main St., Ste 430 #660, The Colony, TX 75056 | 2019-11-26 |
| 1013473248 | Nongnuch Kuligowski | Family Medicine | 5040 Tx-121 Suite 200, Lewisville, TX 75056 | 2019-02-12 |
| 1639655806 | The Regenerative Institute of Texas | Pain Medicine | 3716 Standridge Dr Ste 200, The Colony, TX 75056 | 2018-07-11 |
| 1619484656 | Cornelius Hathorn | Non-emergency Medical Transport (VAN) | 16208 Windhaven Pkwy, Apt 1307, Lewisville, TX 75056 | 2017-12-29 |
| 1194236646 | 5 Star Dental | Dentist | 3751 Main Street, Suite 1000, The Colony, TX 75056 | 2017-10-23 |
| 1396254405 | Rosemore Eye Care Pa | Optometrist | 4901 Windhaven Pkwy, Suite 100, The Colony, TX 75056 | 2017-09-21 |
| 1356877724 | Jamie Mutschler | Speech-Language Pathologist | 220 Eastland Drive, Lewisville, TX 75056 | 2017-05-04 |
| 1831639160 | Jacqueline Nguyen Bang | Counselor | 2287 Sir Amant Drive, Lewisville, TX 75056 | 2017-03-06 |
| 1417495052 | Mary Alice Neville | Physician Assistant | 3600 Main Street, Suite 100, The Colony, TX 75056 | 2017-02-02 |
| Find all providers in zip 75056 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568823920 | Revyv Me LLC | Chiropractor | 4740 State Hwy 121 #200, Lewisville, TX 75056 | 2016-03-14 |
| 1518328145 | Revyv Me, LLC | Chiropractor | 4740 State Highway 121, Suite 200, Lewisville, TX 75056-2912 | 2016-03-09 |
| 1770943482 | Jordan Kellen Habben | Chiropractor | 4740 State Highway 121 Ste 200, Lewisville, TX 75056-2917 | 2016-02-24 |
| 1164880514 | Christina Upchurch | Chiropractor | 2366 S Uecker Ln Ste 300, Lewisville, TX 75067-7823 | 2016-01-31 |
| 1407255037 | Dori R. Bonitatibus | Chiropractor | 1422 W Main St Ste 205, Lewisville, TX 75067-3391 | 2014-08-20 |
| 1932512613 | The Win Spine Clinic, Inc. | Chiropractor | 1301 Fm 407 Ste 208, Lewisville, TX 75077-2150 | 2014-06-10 |
| 1750794822 | Kamaldeen Isiaka | Chiropractor | 1301 Justin Rd Ste 208, Lewisville, TX 75077-2150 | 2014-06-06 |
| 1376969766 | Kyle Nix | Chiropractor | 363 W. Main St., Lewisville, TX 75057 | 2014-03-10 |
| 1497093157 | Healthy Adjustments Chiropractic, Pllc | Chiropractor | 1249 Whitehorse Dr, Lewisville, TX 75077-2923 | 2013-01-30 |
| 1538463245 | James Nguyen | Chiropractor | 242 Carrington Ln, Lewisville, TX 75067-6711 | 2011-01-10 |
| Find all providers in LEWISVILLE | ||||
| City | LEWISVILLE |
| Zip Code | 75056 |
Please comment or provide details below to improve the information on DR. LOUIS P BERTULFO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.