Active NPI
Bridget Conway, D.C.
- Chiropractor
- Northfield, MN
National Provider Identifier
1083985105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5597
- Practice address
- 1040 Highway 3 S
Northfield, MN 55057-3088 - Phone
- (507) 645-8000
- Fax
- (507) 645-4400
- NPI assigned
- Jan 20, 2012
- Last updated
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5597 | MN | Primary |
| Acupuncturist | 171100000X |
Addresses
Primary practice location
1040 Highway 3 S
Northfield, MN 55057-3088
Mailing address
1040 Highway 3 S
Northfield, MN 55057-3088
Phone (507) 645-8000
Other names 1
- Dr. Bridget Fousek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1040 Hwy 3 S
Northfield, MN 55057-3088
Phone (507) 645-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5597 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Pointe Chiropractic | Chiropractor | Current | Accepting new patients |
| PLCC, LTD | Chiropractor | Past | Accepting new patients |
Locations
1040 Highway 3 S
Northfield, MN 55057
Phone (507) 645-8000
150 Water St S
Northfield, MN 55057
Phone (507) 645-8000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Northfield, MN
- NPI 1861771644
-
- Chiropractor
- Savage, MN
- NPI 1780753475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1083985105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 HIGHWAY 3 S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550573088",
"telephone_number": "507-645-8000",
"fax_number": "507-645-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 HIGHWAY 3 S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550573088",
"telephone_number": "507-645-8000",
"fax_number": "507-645-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "BRIDGET",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-20",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5597",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIDGET",
"last_name": "FOUSEK",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.