Active NPI
Donna J. Woelfel, D.C.
- Chiropractor
- Roseville, MN
National Provider Identifier
1194945253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003090
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4C826W0 | Other | MN | BLUE CROSS INDIVIDUAL |
| 4C825AD | Other | MN | BLUE CROSS CLINIC NUMBER |
| 003090 | Other | MN | CHIROPRACTIC LICENSE NUMB |
Other names 1
- Dr. Donna J. Bergh
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003090 | MN | MD | Chiropractor |
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.