Brian R Paulson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4160 Issued in MN

Practice address

1550 Willmar Ave SE Ste B
Willmar, MN 56201-4765

Phone

(320) 235-6320

Fax

(320) 235-2542

NPI assigned

Jul 10, 2006

Last updated

Feb 22, 2017By 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 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duininck Chiropractic, PAGroup PAC ID 6305887720, 4 clinicians

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.

• Duininck Chiropractic, PA

  • Chiropractor
  • Willmar, MN
  • NPI 1568503670
  Medicare reassignment Care Compare group NPD
• A H Chiropractic & Wellness LLC.

  • Sports Physician Chiropractor
  • Scottsdale, AZ
  • NPI 1306005590
  NPD (past)
• Neighborhood Family Practice PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1871584698
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1053345330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 WILLMAR AVE SE STE B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014765",
            "telephone_number": "320-235-6320",
            "fax_number": "320-235-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WILLMAR AVE SE STE B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014765",
            "telephone_number": "320-235-6320",
            "fax_number": "320-235-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2904047-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Parker
• Julie Anne Patten, PSY. D., LP
• Sarah F Pattison, PA-C
• Jennifer Pauff
• Jessica Lynn Paulsen, LMFT
• Jennilee Pearson
• Colleen Marie Pederson, LMFT
• Brandon Pellaton, LICSW
• Jennifer A Pesola, DO
• Lois Ann Peters, BSN, RN, PHN, CLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.