Bradley Jay Haugo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2496 Issued in MN

Practice address

10 N O Connell Ave
Springfield, MN 56087-1308

Phone

(507) 723-5515

NPI assigned

Mar 17, 2006

Last updated

Jul 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Brad Haugo DC CHTD

  • Chiropractor
  • Springfield, MN
  • NPI 1316009681
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1043279243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N O CONNELL AVE",
            "city": "SPRINGFIELD",
            "state": "MN",
            "postal_code": "560871308",
            "telephone_number": "507-723-5515",
            "fax_number": "507-723-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N O CONNELL AVE",
            "city": "SPRINGFIELD",
            "state": "MN",
            "postal_code": "560871308",
            "telephone_number": "507-723-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGO",
        "first_name": "BRADLEY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911028300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C248HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Dittrich, PHARMD
• Dr Brad Haugo DC CHTD
• DRS. Akre & Clark, LTD.
• Bridget Fenger
• Amanda Jo Goblish
• Cliff Heglund
• Joshua J Hoffmann
• Ind School Dist 85
• Alice A Johnson, PT
• Mayo Clinic Health System-Southwest Minnesota Region (Mayo Clinic Health System-Springfield)

• Chiropractor in Springfield, MN
• Providers in Springfield, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.