Active NPI
Discover Chiropractic, P.a.
- Chiropractor
- Burnsville, MN
National Provider Identifier
1215058102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 443
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5691427-00 | Medicaid | MN | |
| 7815204-00 | Medicaid | MN | |
| 64B04OB | Other | MN | BCBS - OFFICE PROVIDER # |
| 64B05OB | Other | MN | DR. O'BRIEN'S BCBS # |
| 4572921-00 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Burnsville, MN
- NPI 1942427059
-
- Chiropractor
- Waverly, IA
- NPI 1578780698
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.