Individual provider Active NPI

Alan David Bergquist, DC

  • Chiropractor
  • Milbank, SD
National Provider Identifier
1083636773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
767 Issued in SD
Practice address
1203 E. 4TH Ave. Suite 101
Milbank, SD 57252-0230
Phone
(605) 432-9561
Fax
(605) 432-9562
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 767 SD Primary

Addresses

Primary practice location

1203 E. 4TH Ave. Suite 101
Milbank, SD 57252-0230

Mailing address

PO Box 230
1203 E. 4TH Ave. Suite 101
Milbank, SD 57252-0230
Phone (605) 432-9561

Other identifiers 1

IdentifierTypeStateIssuer
76039303MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
767SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Chiropractic of Brookings Chiropractor PastSince Jun 29, 2005 Accepting new patients
Healthfirst Chiropractic of Brookings Chiropractor PastSince Feb 13, 2006 Accepting new patients
Healthfirst Chiropractic of Watertown PastSince Jul 1, 2009 Accepting new patients
Healthfirst Chiropractic of Watertown Chiropractor PastSince Apr 1, 2006 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083636773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "address_2": "1203 E. 4TH AVE. SUITE 101",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572520230",
            "telephone_number": "605-432-9561",
            "fax_number": "605-432-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E. 4TH AVE. SUITE 101",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572520230",
            "telephone_number": "605-432-9561",
            "fax_number": "605-432-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76039303",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milbank, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.