Brian Alan Wiebe, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3361 Issued in MN

Practice address

7029 10TH St N
Oakdale, MN 55128-5938

Phone

(651) 735-2201

Fax

(651) 739-0763

NPI assigned

Jul 27, 2006

Last updated

Oct 2, 2009By 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 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1995

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.

• Wellspring Chiropractic

  • Chiropractor
  • Oakdale, MN
  • NPI 1851594550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1063426260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7029 10TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285938",
            "telephone_number": "651-735-2201",
            "fax_number": "651-739-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7029 10TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285938",
            "telephone_number": "651-735-2201",
            "fax_number": "651-739-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "BRIAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP, INC.",
            "identifier": "231968",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590519200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSM",
            "identifier": "201391931",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "595R5WI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina White, O.D.
• Julie A. Whitford, LPCC
• Katherine Marie Wickstrom, CNP
• Benjamin Widbin
• Nicholaus E Widing, LADC
• Casandera Kay Wiek, FNP
• Julie Wiens
• Jackie Florence Williams
• Wilson Family Chiropractic P.a.
• Kaylan Wilson, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.