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Deactivated NPI 1750391744 Deactivated / Inactive NPI Male Practitioner

Dr. Bertram Jacobson , DC

Chiropractor • Phila, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bertram Jacobson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2006
NPI Deactivation Date August 02, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Bertram Jacobson, DC was a registered Chiropractor practicing in Phila, PA. Throughout an active medical career spanning 15 years, Dr. Jacobson provided care at the practice location at 9500 NORTHEAST AVE until profile deactivation on 2021-08-02.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

9500 Northeast Ave
Ste 1

Phila, PA 19115

Telephone 2156739500
Associated Practice Facility / Clinic
🏢 Bertram Jacobson Facility NPI 1821298407

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Phila, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Phila, PA (4175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
129 53 $55.00 $43.09

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License PA DC002257L

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1194839654

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 02, 2021

Record deactivated on August 02, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 9500 NORTHEAST AVE, STE 1, PHILA, PA 19115 (Tel: 2156739500)

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Updated Business Mailing Address July 08, 2007

Registered at 9500 NORTHEAST AVE, PHILA, PA 19115 (Tel: 2156739500)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BERTRAM JACOBSON, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #DC002257L in PA)

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Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750391744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 08, 2007
Deactivation Date: August 02, 2021

Mailing Address

9500 Northeast Ave

Phila, PA 19115

Phone: 2156739500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.