Organization Active NPI

Dr Brad Haugo DC CHTD

  • Chiropractor
  • Springfield, MN
National Provider Identifier
1316009681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
323 Issued in MN
Legal business name
DR BRAD HAUGO DC CHTD
Practice address
10 N O Connell Ave
Springfield, MN 56087-1308
Phone
(507) 723-5515
Fax
(507) 723-5515
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bradley Jay Haugo, DCNPI 1043279243
Title
President
Phone
(507) 723-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 323 MN Primary

Addresses

Primary practice location

10 N O Connell Ave
Springfield, MN 56087-1308

Mailing address

10 N O Connell Ave
Springfield, MN 56087-1308
Phone (507) 723-5515

Other identifiers 1

IdentifierTypeStateIssuer
5C247HAOtherMNBCBS OFFICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101018000024 MN Part B Supplier - Clinic/Group Practice 8325231848 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0405124Dr Brad Haugo DC CHTD10 North O'Connell Ave, Springfield, MN 56087Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

10 N O Connell Ave
Springfield, MN 56087
Phone (507) 723-5515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316009681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N O CONNELL AVE",
            "city": "SPRINGFIELD",
            "state": "MN",
            "postal_code": "560871308",
            "telephone_number": "507-723-5515",
            "fax_number": "507-723-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N O CONNELL AVE",
            "city": "SPRINGFIELD",
            "state": "MN",
            "postal_code": "560871308",
            "telephone_number": "507-723-5515",
            "fax_number": "507-723-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRAD HAUGO DC CHTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUGO",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-723-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OFFICE",
            "identifier": "5C247HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.