Bryce Benson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6687 Issued in MN

Practice address

2340 Mountain Shadow Dr
Duluth, MN 55811-3809

Phone

(218) 208-4627

NPI assigned

Mar 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Lakes Chiropractic LLC

  • Chiropractor
  • Duluth, MN
  • NPI 1396371571
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1124654306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 MOUNTAIN SHADOW DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113809",
            "telephone_number": "218-208-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 MOUNTAIN SHADOW DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113809",
            "telephone_number": "218-208-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Lynn Bennett
• Kimberly Benning, FNP
• Jena Benoit
• Laurel June Benoit
• Andrea L Benson, M.D.
• Deviney Marie Benson, PA-C
• Paige Marie Benson
• Pamela Kaye Benson
• Adessa Rae Bentley, RN
• Adam Jay Benz, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.