Organization Active NPI

Bridge Street Chiropractic, LTD.

Doing business as Bridges Chiropractic Health Clinic

  • Chiropractor
  • Owatonna, MN
National Provider Identifier
1174830293
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3354 Issued in MN
Legal business name
BRIDGE STREET CHIROPRACTIC, LTD.
Doing business as
Bridges Chiropractic Health Clinic
Practice address
215 18TH St SE
Owatonna, MN 55060-4003
Phone
(507) 451-7580
Fax
(507) 451-5387
NPI assigned
Sep 10, 2010
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Dr. Darren C Roemhildt, D.C.NPI 1477666741
Title
Owner
Phone
(507) 451-7580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3354 MN Primary

Addresses

Primary practice location

215 18TH St SE
Owatonna, MN 55060-4003

Mailing address

215 18TH St SE
Owatonna, MN 55060-4003
Phone (507) 451-7580

Other names 1

  • Bridges Chiropractic Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110201000501 MN Part B Supplier - Clinic/Group Practice 3173702545 Receives reassigned benefits from 4 practitioners
Practice locations: Owatonna, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2201165Bridges Chiropractic Health Clinic215 18TH Street SE, Owatonna, MN 55060Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

211 W Bridge St
Owatonna, MN 55060
Phone (507) 451-7580

215 18th St SE
Owatonna, MN 55060
Phone (507) 451-7580

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1174830293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 18TH ST SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604003",
            "telephone_number": "507-451-7580",
            "fax_number": "507-451-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 18TH ST SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604003",
            "telephone_number": "507-451-7580",
            "fax_number": "507-451-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE STREET CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "ROEMHILDT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-451-7580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges Chiropractic Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.

Verify at the official NPI Registry.