Individual provider Active NPI

Eden Mrozek, DC

  • Chiropractor
  • Brandon, SD
National Provider Identifier
1265394183
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1526 Issued in SD
Practice address
220 E Holly Blvd
Brandon, SD 57005-1171
Phone
(605) 582-3944
Fax
(605) 582-3698
NPI assigned
Dec 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1526 SD Primary

Addresses

Primary practice location

220 E Holly Blvd
Brandon, SD 57005-1171

Mailing address

2405 E Country Club Cir Apt 204
Brandon, SD 57005-6760
Phone (507) 363-3925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260126001132 SD Practitioner - Chiropractic 5496232068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envive Brandon Prof LLCGroup PAC ID 4789929290, 2 clinicians

Practice addresses (Care Compare)

220 E Holly Blvd
Brandon, SD 57005-1171
Phone (605) 582-3944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Envive Brandon Prof LLC Chiropractor CurrentSince Dec 14, 2025 Accepting new patients

Locations

220 E Holly Blvd
Brandon, SD 57005
Phone (605) 336-1188

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": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1265394183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 E COUNTRY CLUB CIR APT 204",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570056760",
            "telephone_number": "507-363-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051171",
            "telephone_number": "605-582-3944",
            "fax_number": "605-582-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZEK",
        "first_name": "EDEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.