Individual provider Active NPI

Gregory Gernes, DC

  • Chiropractor
  • Brooklyn Center, MN
National Provider Identifier
1366088395
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6663 Issued in MN
Practice address
3311 53Rd Ave N Apt 106
Brooklyn Center, MN 55429-3446
Phone
(507) 429-2280
NPI assigned
Nov 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6663 MN Primary

Addresses

Primary practice location

3311 53Rd Ave N Apt 106
Brooklyn Center, MN 55429-3446

Mailing address

3311 53Rd Ave N Apt 106
Brooklyn Center, MN 55429-3446
Phone (507) 429-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6663MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lahman Chiropractic LLC Chiropractor CurrentSince Sep 27, 2023 Accepting new patients
Lahman Chiropractic LLC Chiropractor CurrentSince Sep 27, 2023 Accepting new patients

Locations

1419 9th St
Monroe, WI 53566
Phone (608) 325-2626

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1366088395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 53RD AVE N APT 106",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293446",
            "telephone_number": "507-429-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 53RD AVE N APT 106",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293446",
            "telephone_number": "507-429-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNES",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.