Organization Active NPI

Discover Chiropractic, P.a.

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1215058102
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
443 Issued in MN
Legal business name
DISCOVER CHIROPRACTIC, P.A.
Practice address
101 W Burnsville Pkwy
Suite 204
Burnsville, MN 55337-2571
Phone
(952) 224-9501
Fax
(952) 224-9503
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Dr. Bernard Paul O'Brien, D.C.
Title
Owner
Phone
(952) 224-9501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 443 MN Primary

Addresses

Primary practice location

101 W Burnsville Pkwy
Suite 204
Burnsville, MN 55337-2571

Mailing address

101 W Burnsville Pkwy
Suite 204
Burnsville, MN 55337-2571
Phone (952) 224-9501

Other identifiers 5

IdentifierTypeStateIssuer
5691427-00MedicaidMN
7815204-00MedicaidMN
64B04OBOtherMNBCBS - OFFICE PROVIDER #
64B05OBOtherMNDR. O'BRIEN'S BCBS #
4572921-00MedicaidMN

National Provider Directory

National Provider Directory

Locations

1601 Highway 13 E
Ste 103
Burnsville, MN 55337
Phone (952) 224-9501

101 W Burnsville Pkwy
Ste 204
Burnsville, MN 55337
Phone (952) 224-9501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1215058102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BURNSVILLE PKWY",
            "address_2": "SUITE 204",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372571",
            "telephone_number": "952-224-9501",
            "fax_number": "952-224-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BURNSVILLE PKWY",
            "address_2": "SUITE 204",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372571",
            "telephone_number": "952-224-9501",
            "fax_number": "952-224-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-224-9501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5691427-00",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7815204-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - OFFICE PROVIDER #",
            "identifier": "64B04OB",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. O'BRIEN'S BCBS #",
            "identifier": "64B05OB",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4572921-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.