Logan Lee Brincefield, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5361 Issued in MN

Practice address

306 W Highway 212
Norwood Young America, MN 55368-9775

Phone

(952) 467-2132

NPI assigned

May 10, 2010

Last updated

May 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sacred Health Family ChiropracticGroup PAC ID 2264556943, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sacred Health Family Chiropractic

  • Chiropractor
  • Norwood Young America, MN
  • NPI 1649586645
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1245558683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W HIGHWAY 212",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "553689775",
            "telephone_number": "952-467-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W HIGHWAY 212",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "553689775",
            "telephone_number": "952-467-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINCEFIELD",
        "first_name": "LOGAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Ahrendt
• Teresa Amaro
• Richard Carlyle Axel, DDS
• Brooklin Bates, D.C.
• Leland Lane Brincefield, D.C.
• City of Norwood Young America (The Harbor at Peace Village)
• Allison Cruse, CCC-SLP
• Marielle Louise Gatenby, ATC
• Erin Rose Jensen
• Samantha Jones, DC

• Chiropractor in Norwood Young America, MN
• Providers in Norwood Young America, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.