Brent Scheideman, D.C.
Individual provider Active NPI Sports Physician Chiropractor · Becker, MN
NPI 1013965664 · NPPES record last updated Dec 5, 2007
Key facts
- NPI
- 1013965664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 4037 (MN)
- Practice address
- 14030 Bank St
Suite 1
Becker, MN 55308-9351 - Phone
- (763) 262-2639
- Fax
- (763) 262-2640
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14030 Bank St
Becker, MN 55308-8865
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922000173 | MN | Practitioner - Chiropractic | 5496789190 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4037 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheideman Chiropractic and Body Shop | Sports Physician | Current |
Accepting new patients |
| Belde Chiropractic Clinic, PA | Past | Accepting new patients |
Locations
14030 Bank St
Ste 1
Becker, MN 55308
Phone (763) 262-2639
12911 1st St
Ste 1
Becker, MN 55308
Phone (763) 262-2639
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4037 | MN | Yes |
Addresses
Primary practice location
14030 Bank St
Suite 1
Becker, MN 55308-9351
Mailing address
PO Box 265
Becker, MN 55308-0265
Phone (763) 262-2639
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 449M3SC | Other | MN | BCBS |
Other providers in Becker, MN
- Quick Results, LLC
- Allison Erica Reid
- Rejuvenate PSC
- Rock Creek Builders Inc
- Scheideman Chiropractic and Body Shop
- Catarina Schroeder
- Shepherd of Grace, LLC
- Snoring and Sleep Apnea Center PA
- Paul A Spinner
- Stay Awhile Therapy PLLC
All providers in Becker, MN · Sports Physician Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.