Brockston Anthony Spandl, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6187 Issued in MN

Practice address

518 2ND Ave NE
Staples, MN 56479-2930

Phone

(218) 894-1077

Fax

(218) 894-0553

NPI assigned

Jan 22, 2016

Last updated

Oct 28, 2016By 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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Astera HealthGroup PAC ID 2961395272, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Astera Health

  dba Astera Health Wadena Clinic

  • Rural Health Clinic/Center
  • Wadena, MN
  • NPI 1134305162
  Medicare reassignment Care Compare group NPD
• Spandl Chiropractic P.C.

  • Chiropractor
  • Staples, MN
  • NPI 1730636747
  Authorized official Same address or phone
• Astera Health

  dba Astera Health Verndale Clinic

  • Rural Health Clinic/Center
  • Verndale, MN
  • NPI 1407262405
  NPD
• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  NPD

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1255798138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 2ND AVE NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792930",
            "telephone_number": "218-894-1077",
            "fax_number": "218-894-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 2ND AVE NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792930",
            "telephone_number": "218-894-1077",
            "fax_number": "218-894-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANDL",
        "first_name": "BROCKSTON",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Elizabeth Seipkes, SLP
• Annalise Shippee, PA
• Ryan Skoog
• Lisa Mary Smeby, NP
• Spandl Chiropractic P.C.
• St Joseph's Medical Center (Essentia Health St Josephs Staples Clinic)
• St. Cloud Hospital (CentraCare Kidney Program - Staples Dialysis)
• Staples Eye Clinic PSC
• Staples Smiles
• Wade T Swenson II, MD

• Chiropractor in Staples, MN
• Providers in Staples, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.