Jerrad James Bergren, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5131 Issued in MN

Practice address

23465 County Road 8
Bovey, MN 55709-7064

Phone

(218) 245-2176

Fax

(218) 245-2676

NPI assigned

Aug 4, 2008

Last updated

Aug 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bergren Family Chiropractic, PA

  • Chiropractor
  • Bovey, MN
  • NPI 1558513879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1285890731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23465 COUNTY ROAD 8",
            "city": "BOVEY",
            "state": "MN",
            "postal_code": "557097064",
            "telephone_number": "218-245-2176",
            "fax_number": "218-245-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23465 COUNTY ROAD 8",
            "city": "BOVEY",
            "state": "MN",
            "postal_code": "557097064",
            "telephone_number": "218-245-2176",
            "fax_number": "218-245-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGREN",
        "first_name": "JERRAD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alphaflo, Inc.
• Kathleen Anthony, PTA
• Bergren Family Chiropractic, PA
• Holly Jo Buescher
• Anna Marie Connelly, MA, LADC
• Danielle Christopherson, PLLC
• Lexi Gessell, DC
• Lakeplace Retreat Center Inc

• Chiropractor in Bovey, MN
• Providers in Bovey, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.