Individual provider Active NPI

Brenden Jacob Stay, DC

  • Chiropractor
  • Brainerd, MN
National Provider Identifier
1073318895
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7310 Issued in MN
Practice address
318 W Laurel St
Brainerd, MN 56401-4077
Phone
(218) 454-5483
Fax
(218) 454-5484
NPI assigned
Feb 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7310 MN Primary

Addresses

Primary practice location

318 W Laurel St
Brainerd, MN 56401-4077

Mailing address

318 W Laurel St
Brainerd, MN 56401-4077
Phone (218) 454-5483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515002572 MN Practitioner - Chiropractic 2062930894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Well ChiropracticGroup PAC ID 3779707278, 3 clinicians

Practice addresses (Care Compare)

315 E River Rd
Brainerd, MN 56401-3503
Phone (218) 454-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Chiropractic Chiropractor CurrentSince May 9, 2025 Accepting new patients
Rainbow of Health Physical Therapy, Inc. PastSince Aug 17, 2025 Accepting new patients

Locations

315 E River Rd
Brainerd, MN 56401
Phone (218) 454-5483

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1073318895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W LAUREL ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014077",
            "telephone_number": "218-454-5483",
            "fax_number": "218-454-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W LAUREL ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014077",
            "telephone_number": "218-454-5483",
            "fax_number": "218-454-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAY",
        "first_name": "BRENDEN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.