TIMOTHY THOMAS BERTSCH, DC — NPI 1437154671 (Licensed & Credentialed Chiropractic Providers

CMS-1500 Box 24J / 33a • NPI

1437154671

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NI0900X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Internist

Box 32 Service Location & ZIP+4

12217 CHAMPLIN DR, CHAMPLIN, MN, 55316-1930

✓ 9-Digit EDI 837 ZIP+4 (55316-1930)

Practice Phone & Referral Fax

(763) 323-1492

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1437154671 (TIMOTHY THOMAS BERTSCH, DC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1437154671` (NPI-1 Individual Practitioner)
Provider / Legal Name	TIMOTHY THOMAS BERTSCH, DC
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Internist NUCC Code: `111NI0900X` (Chiropractor, Internist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12217 CHAMPLIN DR, CHAMPLIN, MN, 55316-1930
Practice Telephone / Fax	Tel: (763) 323-1492
Administrative Mailing Address	12217 CHAMPLIN DR, CHAMPLIN, MN, 55316-1930
Enumeration & Last Sync	Enumerated: 2005-06-15 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12217 CHAMPLIN DR, CHAMPLIN, MN, 55316-1930

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Plain-English Taxonomy & CMS Crosswalk (111NI0900X)

What Does Taxonomy Code 111NI0900X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NI0900X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Internist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Internist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TIMOTHY THOMAS BERTSCH, DC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NI0900X` — Chiropractor, Internist Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Internist	State: MN \| License: `2076` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TIMOTHY THOMAS BERTSCH, DC (NPI #1437154671)