Individual provider Active NPI

Corey Steven Milbrandt, DC

  • Chiropractor
  • Duluth, MN
National Provider Identifier
1467966911
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6418 Issued in MN
Practice address
925 E Superior St Ste 112
Duluth, MN 55802-2253
Phone
(218) 628-0646
Fax
(218) 628-1889
NPI assigned
Nov 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6418 MN Primary

Addresses

Primary practice location

925 E Superior St Ste 112
Duluth, MN 55802-2253

Mailing address

925 E Superior St Ste 112
Duluth, MN 55802-2253
Phone (218) 628-0646

Other identifiers 1

IdentifierTypeStateIssuer
6418OtherMNCHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171229001438 MN Practitioner - Chiropractic 4082972732 Reassigns benefits to 1 organization
I20241209001064 IA Practitioner - Chiropractic 4082972732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

625 Main St
Osage, IA 50461-1307
Phone (641) 732-2616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osage Chiropractic, P.C. Chiropractor CurrentSince Nov 1, 2024 Accepting new patients
Chiropractic Health Center P a Chiropractor CurrentSince Feb 28, 2020 Accepting new patients

Locations

625 Main St
Osage, IA 50461
Phone (641) 732-2616

925 E Superior St
Ste 112
Duluth, MN 55802
Phone (218) 628-0646

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1467966911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST STE 112",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022253",
            "telephone_number": "218-628-0646",
            "fax_number": "218-628-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST STE 112",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022253",
            "telephone_number": "218-628-0646",
            "fax_number": "218-628-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBRANDT",
        "first_name": "COREY",
        "middle_name": "STEVEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "6418",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.