Active NPI
Bryan James Hedlund, D.C.
- Chiropractor
- Brainerd, MN
National Provider Identifier
1366477069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4785
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hedlund Chiropractic, P.a. | Chiropractor | Current | 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.
-
- Chiropractor
- Brainerd, MN
- NPI 1578668786
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.