Jeremy Frank Rebrovich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4084 Issued in MN

Practice address

18336 Joplin St NW
Elk River, MN 55330-1773

Phone

(763) 441-0999

Fax

(763) 441-3888

NPI assigned

Jan 25, 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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebrovich and Whalen Chiropractic LTDGroup PAC ID 3072563170, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rebrovich and Whalen Chiropractic, LTD.

  dba Ideal Health, A Sports & Family Chiropractic Clinic

  • Chiropractor
  • Elk River, MN
  • NPI 1457407116
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417003328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18336 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "763-441-0999",
            "fax_number": "763-441-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18336 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "763-441-0999",
            "fax_number": "763-441-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBROVICH",
        "first_name": "JEREMY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perkaloah Amanda Queeglay-Tarpeh, RN
• William H Rabe, MD
• Michael Harold Rafferty, D.C.
• Kelly Jean Rawlings
• Rebrovich and Whalen Chiropractic, LTD. (Ideal Health, A Sports & Family Chiropractic Clinic)
• Sandra Lynn Rebrovich, D.C.
• Regroup Counseling and Consulting PSC
• Courtney E Reinitz, MSW, LICSW
• Rescare Minnesota
• Perla Reyes-Mendoza

• Chiropractor in Elk River, MN
• Providers in Elk River, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.