Brenna Erickson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6644 Issued in MN

Practice address

3115 Hennepin Ave # 205
Minneapolis, MN 55408-2620

Phone

(612) 367-7216

Fax

(844) 373-1939

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• LTC Professionals, PLLC

  • Internal Medicine Physician
  • Bloomington, MN
  • NPI 1417251935
  Medicare reassignment NPD

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1437654423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 HENNEPIN AVE # 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082620",
            "telephone_number": "612-367-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 HENNEPIN AVE # 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082620",
            "telephone_number": "612-367-7216",
            "fax_number": "844-373-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "BRENNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6644",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Erickson, OTR
• Andrew Richard Erickson, CRNA
• Ann Louise Erickson, PT
• Annerhe Erickson
• Barbara Ann Erickson, RN
• Britt Kristina Erickson, M.D.
• Carrie Lynn Erickson, OTR
• Christa Erickson, SLP
• Clinton Erickson II, RN
• Denise Rae Erickson, N.P.

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.