Active NPI
Brenda Weierke, D.C.
- Chiropractor
- Taylors Falls, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2414
- Practice address
- PO Box 237
386 Bench St
Taylors Falls, MN 55084-0237 - Phone
- (651) 465-3811
- Fax
- (651) 455-8107
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2414 | MN | Primary |
Addresses
Primary practice location
PO Box 237
386 Bench St
Taylors Falls, MN 55084-0237
Mailing address
PO Box 237
Taylors Falls, MN 55084-0237
Phone (651) 465-3811
Other practice location 1
303 21st St Ste 152
Newport, MN 55055-1185
Phone (651) 455-3405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 722028600 | Medicaid | MN | |
| 59687 SO | Other | MN | BCBS |
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
- Logan College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
303 21St St
Suite 152
Newport, MN 55055-1185
Phone (651) 455-3405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2414 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weierke Chiropractic PA | Chiropractor | Current | Accepting new patients |
| Taylors Falls Chiropractic Office LTD | Past | Accepting new patients |
Locations
303 21st St
Ste 152
Newport, MN 55055
Phone (651) 455-3405
820 Southview Blvd
Ste 101
South St Paul, MN 55075
Phone (651) 455-3405
625 Southview Blvd
#B
South St Paul, MN 55075
Phone (612) 248-5217
397 Bench St
Taylors Falls, MN 55084
Phone (651) 319-1337
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 and National Provider Directory roles.
-
- Chiropractor
- Taylors Falls, MN
- NPI 1568876993
-
- Exclusive Provider Organization
- Oak Park Heights, MN
- NPI 1174826663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1184724767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 237",
"city": "TAYLORS FALLS",
"state": "MN",
"postal_code": "550840237",
"telephone_number": "651-465-3811",
"fax_number": "651-455-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 237",
"address_2": "386 BENCH ST",
"city": "TAYLORS FALLS",
"state": "MN",
"postal_code": "550840237",
"telephone_number": "651-465-3811",
"fax_number": "651-455-8107"
}
],
"practiceLocations": [
{
"address_1": "303 21st St Ste 152",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "MN",
"postal_code": "550551185",
"country_code": "US",
"telephone_number": "651-455-3405",
"fax_number": "651-455-8107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIERKE",
"first_name": "BRENDA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "722028600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59687 SO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylors Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.