Bomberg Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6170 Issued in MN

Legal business name

BOMBERG CHIROPRACTIC, LLC

Practice address

9800 Shelard Pkwy
Suite 208
Minneapolis, MN 55441-6411

Phone

(763) 277-0303

Fax

(763) 277-0323

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tom Bomberg, D.CNPI 1346645348

Title

Chiropractic Physician

Phone

(763) 277-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tom Bomberg, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1346645348
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1104209394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY",
            "address_2": "SUITE 208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554416411",
            "telephone_number": "763-277-0303",
            "fax_number": "763-277-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY",
            "address_2": "SUITE 208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554416411",
            "telephone_number": "763-277-0303",
            "fax_number": "763-277-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMBERG CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "BOMBERG",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "763-277-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Bolstad, PAC
• Chad Bolstrom, LPCC
• Lilly A Bolton
• Rachel Kari Bolton, RN
• Sharon Bombardo, RN PHN
• Eric Morris Bomberg, M.D.
• Santana Bomgardner
• Satya V Bommakanti, MD
• Cynthia Bona
• Joyce Bonafield, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.