Perry Buffie, D.C.
Individual provider Active NPI Chiropractor · Rockford, MN
NPI 1114074986 · NPPES record last updated Nov 19, 2010
Key facts
- NPI
- 1114074986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2935 (MN)
- Practice address
- 8340 Bridge St
Rockford, MN 55373-9578 - Phone
- (763) 477-4266
- Fax
- (763) 477-6228
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8340 Bridge St
Rockford, MN 55373-9578
Phone (763) 477-4266
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040720000127 | MN | Practitioner - Chiropractic | 0547257545 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2935 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffie Chiropractic Clinic PC | Chiropractor | Current |
Accepting new patients |
Locations
3375 Plymouth Blvd
Ste 210
Plymouth, MN 55447
Phone (763) 557-7359
7949 Highway 55
#B
Rockford, MN 55373
Phone (763) 477-4266
8340 Bridge St
Rockford, MN 55373
Phone (763) 233-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2935 | MN | Yes |
Addresses
Primary practice location
8340 Bridge St
Rockford, MN 55373-9578
Mailing address
PO Box 207
Rockford, MN 55373-0207
Phone (763) 477-4266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046728600 | Medicaid | MN | |
| 2935 | Other | MN | LICENSE |
Other providers in Rockford, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.