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
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7071 | MN | MD | Family Nurse Practitioner |
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 and National Provider Directory roles.
-
- Chiropractor
- Burnsville, MN
- NPI 1912325325
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.