Active NPI
Beck Axiom Bravard, D.C.
- Chiropractor
- Inver Grove Heights, MN
National Provider Identifier
1245498096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6742
- Practice address
- 5810 Blackshire Path
Inver Grove Heights, MN 55076-1857 - Phone
- (563) 508-5870
- NPI assigned
- May 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011152 | IL | |
| Chiropractor | 111N00000X | 073329 | IA | |
| Chiropractor | 111N00000X | 6742 | MN | Primary |
Addresses
Primary practice location
5810 Blackshire Path
Inver Grove Heights, MN 55076-1857
Mailing address
3901 Heritage Hills Dr Apt 319
Bloomington, MN 55437-2624
Phone (563) 508-5870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16283 Ipava Ave
Lakeville, MN 55044-4658
Phone (952) 898-2287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073329 | IA | MD | Chiropractor |
| 038.011152 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Chiropractic Clinic PLLC | Chiropractor | Current | Accepting new patients |
Locations
16283 Ipava Ave
Lakeville, MN 55044
Phone (952) 898-2287
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.
-
- Chiropractor
- Lakeville, MN
- NPI 1669281341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245498096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 HERITAGE HILLS DR APT 319",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554372624",
"telephone_number": "563-508-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 BLACKSHIRE PATH",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550761857",
"telephone_number": "563-508-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVARD",
"first_name": "BECK",
"middle_name": "AXIOM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011152",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "073329",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6742",
"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 Sep 11, 2025; 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.