Individual provider Active NPI

Donna J. Woelfel, D.C.

  • Chiropractor
  • Roseville, MN
National Provider Identifier
1194945253
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003090 Issued in MN
Practice address
2499 Rice St
204
Roseville, MN 55113-3724
Phone
(651) 481-3292
Fax
(651) 481-7821
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003090 MN Primary

Addresses

Primary practice location

2499 Rice St
204
Roseville, MN 55113-3724

Mailing address

2499 Rice St
204
Roseville, MN 55113-3724
Phone (651) 481-3292

Other identifiers 3

IdentifierTypeStateIssuer
4C826W0OtherMNBLUE CROSS INDIVIDUAL
4C825ADOtherMNBLUE CROSS CLINIC NUMBER
003090OtherMNCHIROPRACTIC LICENSE NUMB

Other names 1

  • Dr. Donna J. Bergh Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003090MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194945253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 RICE ST",
            "address_2": "204",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133724",
            "telephone_number": "651-481-3292",
            "fax_number": "651-481-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 RICE ST",
            "address_2": "204",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133724",
            "telephone_number": "651-481-3292",
            "fax_number": "651-481-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOELFEL",
        "first_name": "DONNA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL",
            "identifier": "4C826W0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLINIC NUMBER",
            "identifier": "4C825AD",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE NUMB",
            "identifier": "003090",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BERGH",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.