Individual provider Active NPI

Michael Bohrnsen, DC, DACBSP

  • Sports Physician Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1295020725
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
9482 Issued in AZ
Practice address
14300 N Northsight Blvd Ste 209
Scottsdale, AZ 85260-3676
Phone
(480) 630-9295
NPI assigned
Jun 13, 2011
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32130 CA
Sports Physician Chiropractor 111NS0005X 9482 AZ Primary
Sports Physician Chiropractor 111NS0005X CH 60485899 WA

Addresses

Primary practice location

14300 N Northsight Blvd Ste 209
Scottsdale, AZ 85260-3676

Mailing address

14300 N Northsight Blvd Ste 209
Scottsdale, AZ 85260-3676
Phone (480) 630-9295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104000923 AZ Practitioner - Chiropractic 8123336443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Ridge Medical GroupGroup PAC ID 5991056350, 7 clinicians

Practice addresses (Care Compare)

21001 N Tatum Blvd
Suite 78 1640
Phoenix, AZ 85050-5244
Phone (480) 926-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32130CAMDChiropractor
CH 60485899WAMDSports Physician Chiropractor
9482AZMDChild Mental Illness Respite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Ridge Medical Group Chiropractor CurrentSince Oct 1, 2025 Accepting new patients
Desert Ridge Angic LLC Chiropractor Past Accepting new patients

Locations

21001 N Tatum Blvd
Ste 78-1640
Phoenix, AZ 85050
Phone (480) 306-7832

Organizations & group practices 2

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1295020725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD STE 209",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603676",
            "telephone_number": "480-630-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD STE 209",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603676",
            "telephone_number": "480-630-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHRNSEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC, DACBSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32130",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "9482",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH 60485899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.