Individual provider Active NPI

Bryan James Hedlund, D.C.

  • Chiropractor
  • Brainerd, MN
National Provider Identifier
1366477069
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4785 Issued in MN
Practice address
17025 Commercial Park Dr
Suite #8
Brainerd, MN 56401-6253
Phone
(218) 824-3737
Fax
(218) 824-3738
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4785 MN Primary

Addresses

Primary practice location

17025 Commercial Park Dr
Suite #8
Brainerd, MN 56401-6253

Mailing address

17025 Commercial Park Dr Unit 8
Suite #8
Brainerd, MN 56401-6254
Phone (218) 824-3737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000157 MN Practitioner - Chiropractic 5597768192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13432 Elmwood Dr
Suite 3
Baxter, MN 56425-8539
Phone (218) 824-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hedlund Chiropractic, P.a. Chiropractor CurrentSince Apr 24, 2006 Accepting new patients

Locations

13432 Elmwood Dr
Ste 3
Baxter, MN 56425
Phone (218) 824-3737

17025 Commercial Park Rd
Unit 8
Brainerd, MN 56401
Phone (218) 824-3737

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1366477069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17025 COMMERCIAL PARK DR UNIT 8",
            "address_2": "SUITE #8",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564016254",
            "telephone_number": "218-824-3737",
            "fax_number": "218-824-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17025 COMMERCIAL PARK DR",
            "address_2": "SUITE #8",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564016253",
            "telephone_number": "218-824-3737",
            "fax_number": "218-824-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDLUND",
        "first_name": "BRYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.