Individual provider Active NPI

Bonnie Freije, DC

  • Chiropractor
  • Devils Lake, ND
National Provider Identifier
1265430466
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
532 Issued in ND
Practice address
204 College Dr N
Devils Lake, ND 58301-2925
Phone
(701) 662-3443
NPI assigned
Jul 12, 2005
Reactivated
Apr 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
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 532 ND Primary

Addresses

Primary practice location

204 College Dr N
Devils Lake, ND 58301-2925

Mailing address

204 College Dr N
Devils Lake, ND 58301-2925
Phone (701) 662-3443

Other identifiers 1

IdentifierTypeStateIssuer
17073MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000823 ND Practitioner - Chiropractic 5799748893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 College Dr N
Devils Lake, ND 58301-2925
Phone (701) 662-3443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
532NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freije Chiropractic Center P.C. Chiropractor CurrentSince Apr 2, 2001 Accepting new patients
Orthopaedic Associates of Fargo Past Accepting new patients

Locations

1123 College Dr N
Devils Lake, ND 58301
Phone (701) 662-3443

204 College Dr N
Devils Lake, ND 58301
Phone (701) 662-3443

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265430466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COLLEGE DR N",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012925",
            "telephone_number": "701-662-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 COLLEGE DR N",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012925",
            "telephone_number": "701-662-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIJE",
        "first_name": "BONNIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17073",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

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.