Brad Ryan Kersten, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5030 Issued in CO

Practice address

1800 E Main St Ste B
Mandan, ND 58554-3821

Phone

(701) 663-2700

Fax

(701) 663-8175

NPI assigned

Oct 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kersten Chiropractic, P.C.

  • Chiropractor
  • Mandan, ND
  • NPI 1255583019
  Medicare reassignment NPD Authorized official
• Kersten Chiropractic PC

  • Chiropractor
  • Frederick, CO
  • NPI 1144367210
  NPD (past) Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1376732321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E MAIN ST STE B",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543821",
            "telephone_number": "701-663-2700",
            "fax_number": "701-663-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E MAIN ST STE B",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543821",
            "telephone_number": "701-663-2700",
            "fax_number": "701-663-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTEN",
        "first_name": "BRAD",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Keller
• Cassandra Keller
• Leah D Keller, LMT
• Marilyn J. Keller, SLP
• Kersten Chiropractic, P.C.
• KH Pharmacy, Inc.
• KH Pharmacy, Inc. (The Medicine Shoppe 0977)
• Kids in Motion Inc
• Krystal Dawn Kindelin
• Destiny Kindsvogel

• Chiropractor in Mandan, ND
• Providers in Mandan, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.