Brian James Lund, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5464 Issued in MN

Practice address

4717 Clark Avenue
White Bear Lake, MN 55110-3221

Phone

(651) 762-8040

Fax

(651) 762-8070

NPI assigned

Jan 20, 2011

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, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Lund Health Professional CorporationGroup PAC ID 3779886361, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lund Health Professional Corporation

  dba Blaine Health and Wellness

  • Chiropractor
  • Blaine, MN
  • NPI 1194197368
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1457656613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 CLARK AVENUE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103221",
            "telephone_number": "651-762-8040",
            "fax_number": "651-762-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 CLARK AVENUE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103221",
            "telephone_number": "651-762-8040",
            "fax_number": "651-762-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Thomas Lorang, M.A.
• Matthew E Lorson, D.D.S.
• Kevin David Lucas, O.D.
• Holly Grier Ludwigson, M.A., CCC-SLP
• Lund Family Dentistry
• Deanna Lynn Lundell, OD
• Jana Lundell
• Lundstrom Chiropractic Centers, Inc. (Midtown Chiropractic)
• Lundstrom Chiropractic Centers, Inc.
• John Robert Lundstrom, D.C.

• Chiropractor in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.