Bruce L Redington, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

318 Issued in ND

Practice address

205 Sheyenne St
West Fargo, ND 58078-1752

Phone

(701) 282-2919

Fax

(701) 282-2932

NPI assigned

Aug 4, 2006

Last updated

Aug 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bruce L. Redington, D.C.

  dba West Fargo Chiropractic Center

  • Chiropractor
  • West Fargo, ND
  • NPI 1548399264
  Authorized official Same address or phone
• West Fargo Chiropractic Center PC

  • Chiropractor
  • West Fargo, ND
  • NPI 1144566746
  Authorized official Same address or phone

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1346258340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SHEYENNE ST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781752",
            "telephone_number": "701-282-2919",
            "fax_number": "701-282-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SHEYENNE ST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781752",
            "telephone_number": "701-282-2919",
            "fax_number": "701-282-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDINGTON",
        "first_name": "BRUCE",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11016",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RED20139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350048166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red River Human Services Foundation
• Red River Human Services Foundation
• Red River Human Services Foundation
• Red River Human Services Foundation
• Red River Human Services Foundation
• Jonathon H Redington, DC
• Rehabready LLC
• Madysen Geneva Rehovsky, PT, DPT
• Resilient at KD Consulting and Therapy
• Jordan Reznecheck

• Chiropractor in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.