Individual provider Active NPI

Brandon Langerude, DC

  • Chiropractor
  • Inver Grove Heights, MN
National Provider Identifier
1215399282
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6208 Issued in MN
Practice address
5972 Cahill Ave Ste 100
Inver Grove Heights, MN 55076-1540
Phone
(612) 504-3511
Fax
(612) 234-4365
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6208 MN Primary

Addresses

Primary practice location

5972 Cahill Ave Ste 100
Inver Grove Heights, MN 55076-1540

Mailing address

5972 Cahill Ave Ste 100
Inver Grove Heights, MN 55076-1540
Phone (612) 504-3511

Other practice location 1

1151 E Division Ave
Barron, WI 54812
Phone (715) 637-3000

Other practice location 2

1525 Livingston Ave
West Saint Paul, MN 55118-3430
Phone (651) 455-5264

Other practice location 3

2902 Garfield Ave
Minneapolis, MN 55408-2106
Phone (612) 234-8777

Other practice location 4

1151 E Division Ave
Barron, WI 54812
Phone (715) 637-3000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Movement Chiropractic and Rehabilitation PLLC Chiropractor Current Accepting new patients
Wildenauer Chiropractic Clinic LTD Chiropractor Past Accepting new patients
Lifeclinic PA PastSince Sep 21, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1215399282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5972 CAHILL AVE STE 100",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761540",
            "telephone_number": "612-504-3511",
            "fax_number": "612-234-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5972 CAHILL AVE STE 100",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761540",
            "telephone_number": "612-504-3511",
            "fax_number": "612-234-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 E DIVISION AVE",
            "address_purpose": "LOCATION",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "54812",
            "country_code": "US",
            "telephone_number": "715-637-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "West Saint Paul",
            "state": "MN",
            "postal_code": "551183430",
            "country_code": "US",
            "telephone_number": "651-455-5264",
            "fax_number": "651-455-1172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2902 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554082106",
            "country_code": "US",
            "telephone_number": "612-234-8777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 E DIVISION AVE",
            "address_purpose": "LOCATION",
            "city": "BARRON",
            "state": "WI",
            "postal_code": "54812",
            "country_code": "US",
            "telephone_number": "715-637-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGERUDE",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.