Individual provider Active NPI

Brady David Rose, DC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1285330563
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7071 Issued in MN
Practice address
13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733
Phone
(952) 890-0804
Fax
(952) 890-1095
NPI assigned
Feb 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7071 MN Primary

Addresses

Primary practice location

13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733

Mailing address

13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733
Phone (952) 890-0804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224001699 MN Practitioner - Chiropractic 9436522208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piff Holdings PCGroup PAC ID 0446473730, 4 clinicians

Practice addresses (Care Compare)

13955 W Preserve Blvd
Suite 200
Burnsville, MN 55337-7733
Phone (952) 890-0804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7071MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piff Holdings, P.C. Chiropractor CurrentSince Feb 14, 2023 Accepting new patients

Locations

13955 W Preserve Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 890-0804

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1285330563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13955 W PRESERVE BLVD STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377733",
            "telephone_number": "952-890-0804",
            "fax_number": "952-890-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13955 W PRESERVE BLVD STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377733",
            "telephone_number": "952-890-0804",
            "fax_number": "952-890-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BRADY",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.