Breanna Bischoff PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

872 Issued in ND

Legal business name

BREANNA BISCHOFF PC

Practice address

22 Wiley Ave.
Lidgerwood, ND 58053-0087

Phone

(701) 538-4114

NPI assigned

Aug 9, 2012

Last updated

Sep 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Breanna Noelle Bischoff, DCNPI 1962706184

Title

President

Phone

(701) 538-4114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aligned Health Chiropractic and Wellness Other name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Breanna Noelle Bischoff, D.C.

  • Chiropractor
  • Lidgerwood, ND
  • NPI 1962706184
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1265789150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILEY AVE",
            "address_2": "PO BOX 87",
            "city": "LIDGERWOOD",
            "state": "ND",
            "postal_code": "580810087",
            "telephone_number": "701-538-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILEY AVE.",
            "city": "LIDGERWOOD",
            "state": "ND",
            "postal_code": "580530087",
            "telephone_number": "701-538-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREANNA BISCHOFF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "BISCHOFF",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-538-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16756",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aligned Health Chiropractic and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Breanna Noelle Bischoff, D.C.
• Sandra Jean Borgen, CNA
• Dakota Estates Incorporated
• Holly Lynn Frolek, MOT, OTR/L
• Raymond Daniel Green
• Kelly Honl
• Brayden Jelinek

• Chiropractor in Lidgerwood, ND
• Providers in Lidgerwood, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.