Individual provider Active NPI

Brian J Boen, DC

  • Chiropractor
  • Bird Island, MN
National Provider Identifier
1245237064
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3188 Issued in MN
Practice address
210 Highway Ave
Bird Island, MN 55310-0169
Phone
(320) 365-4635
Fax
(320) 365-3237
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3188 MN Primary

Addresses

Primary practice location

210 Highway Ave
Bird Island, MN 55310-0169

Mailing address

PO Box 169
210 Highway Avenue
Bird Island, MN 55310-0169
Phone (320) 365-4635

Other identifiers 2

IdentifierTypeStateIssuer
00B79BOOtherMNBLUE CROSS & BLUE SHIELD
662670OtherMNCHIRO CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000186 MN Practitioner - Chiropractic 1254385115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Boen Chiropractic PAGroup PAC ID 9739133695, 2 clinicians

Practice addresses (Care Compare)

210 Hwy Ave
Dba Health Enhancement
Bird Island, MN 55310-0169
Phone (320) 365-4635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3188MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boen Chiropractic PA Chiropractor CurrentSince Jan 1, 1994 Accepting new patients

Organizations & group practices 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245237064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "address_2": "210 HIGHWAY AVENUE",
            "city": "BIRD ISLAND",
            "state": "MN",
            "postal_code": "553100169",
            "telephone_number": "320-365-4635",
            "fax_number": "320-365-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY AVE",
            "city": "BIRD ISLAND",
            "state": "MN",
            "postal_code": "553100169",
            "telephone_number": "320-365-4635",
            "fax_number": "320-365-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEN",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "00B79BO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO CARE",
            "identifier": "662670",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bird Island, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.