NPIMap

Organization Active NPI

Ilbnc, P.a.

Doing business as Institute for Low Back & Neck Care

  • Orthopaedic Surgery of the Spine Physician
  • Bloomington, MN
National Provider Identifier
1023001815
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ILBNC, P.A.
Doing business as
Institute for Low Back & Neck Care
Practice address
3001 Metro Dr
Suite 330
Bloomington, MN 55425-4506
Phone
(952) 814-6600
Fax
(952) 814-6700
NPI assigned
Aug 26, 2005
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Marie Hilgardner
Title
Clinic Operations Manager
Phone
(952) 814-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X MN Primary

Addresses

Primary practice location

3001 Metro Dr
Suite 330
Bloomington, MN 55425-4506

Mailing address

3001 Metro Dr
Suite 330
Bloomington, MN 55425-4506
Phone (952) 814-6600

Other identifiers 3

IdentifierTypeStateIssuer
39370BAOtherMNBCBS
970722100MedicaidMN
76900OtherMNPREFERRED ONE

Other names 1

  • Institute for Low Back & Neck Care Doing business as

National Provider Directory

National Provider Directory

Locations

14655 Galaxie Ave
Fl 2
Apple Valley, MN 55124

10230 Baltimore St NE
Blaine, MN 55449
Phone (651) 968-5308

2620 Eagan Woods Dr
Ste 240
Eagan, MN 55121

11995 Singletree Ln
Ste 325
Eden Prairie, MN 55344

17210 Kenyon Ave
Lakeville, MN 55044
Phone (651) 968-5960

3001 Metro Dr
Ste 330
Minneapolis, MN 55425
Phone (952) 814-6600

15612 Highway 7
Minnetonka, MN 55345

15700 37th Ave N
Ste 220
Plymouth, MN 55446
Phone (651) 968-5600

1661 Saint Anthony Ave
Fl 2
Saint Paul, MN 55104
Phone (651) 968-5300

2640 Eagan Woods Dr
Saint Paul, MN 55121

710 Commerce Dr
Ste 220
Saint Paul, MN 55125

250 Central Ave N
Ste 107
Wayzata, MN 55391

2090 Woodwinds Dr
#200
Woodbury, MN 55125

4123 Radio Dr
Ste 200
Woodbury, MN 55129

Practitioners & affiliated clinicians

Practitioners 224

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 224

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1023001815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 METRO DR",
            "address_2": "SUITE 330",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254506",
            "telephone_number": "952-814-6600",
            "fax_number": "952-814-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 METRO DR",
            "address_2": "SUITE 330",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254506",
            "telephone_number": "952-814-6600",
            "fax_number": "952-814-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILBNC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "HILGARDNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINIC OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-814-6600"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39370BA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970722100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "76900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Low Back & Neck Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.