Active NPI
Brady David Rose, DC
- Chiropractor
- Burnsville, MN
National Provider Identifier
1285330563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7071
- 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
- Last updated
- Feb 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piff Holdings, P.C. | Chiropractor | Current | 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, 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": "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.