Kevin N Bjorlie, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

ND478 Issued in ND

Practice address

1383 21St Ave N
Fargo, ND 58102

Phone

(701) 235-8050

Fax

(701) 298-3738

NPI assigned

Jan 31, 2007

Last updated

Dec 9, 2021By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bjorlie Chiropractic Clinic, P.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1952448573
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1467599084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 21ST AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-235-8050",
            "fax_number": "701-298-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 21ST AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-235-8050",
            "fax_number": "701-298-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORLIE",
        "first_name": "KEVIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "ND478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18684",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF MN",
            "identifier": "4Z836BJ",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF ND",
            "identifier": "022168",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Bjone
• Meribeth Bjoralt
• Gregory Thomas Bjorklund, PA-C
• Leah Dawn Bjorkman, OTR/L
• Bjorlie Chiropractic Clinic, P.C.
• Selina Bjorlie, O.D.
• Mason Louis Bjornson, DPT
• Timothy James Bjornson
• Carly Shae Bjornstad, LMT
• Mark Bjornstad, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.