Provider Demographics
NPI:1407094576
Name:BARTHOLOMEW, BRET J (DC)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:J
Last Name:BARTHOLOMEW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 STANGE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3978
Mailing Address - Country:US
Mailing Address - Phone:515-292-3718
Mailing Address - Fax:515-292-3226
Practice Address - Street 1:2721 STANGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3978
Practice Address - Country:US
Practice Address - Phone:515-292-3718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007160111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor