Individual provider Active NPI

Jason C. Bramstedt, DC

  • Chiropractor
  • Superior, WI
National Provider Identifier
1487647723
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5773-12 Issued in WI
Practice address
2222 E 5TH St
Superior, WI 54880-3709
Phone
(715) 392-1955
Fax
(715) 392-1935
NPI assigned
Aug 23, 2005
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3800 MN
Chiropractor 111N00000X 5773-12 WI Primary

Addresses

Primary practice location

2222 E 5TH St
Superior, WI 54880-3709

Mailing address

2222 E 5TH St
Superior, WI 54880-3709
Phone (715) 395-5393

Other practice location 1

4602 Grand Ave Ste 1000
Duluth, MN 55807-2712
Phone (218) 336-3520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050914000895 MN Practitioner - Chiropractic 4587697198 Reassigns benefits to 1 organization
I20220915002917 WI Practitioner - Chiropractic 4587697198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Superior Community Health CenterGroup PAC ID 6608810031, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

2222 E 5TH St
Superior, WI 54880-3709
Phone (715) 392-1955

4602 Grand Ave
Suite 1000
Duluth, MN 55807-2712
Phone (218) 226-3520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3800MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Superior Community Health Center CurrentSince Sep 1, 2022 Accepting new patients
Lake Superior Community Health Center CurrentSince May 1, 2022 Accepting new patients
Lake Superior Community Health Center CurrentSince May 1, 2022 Accepting new patients
Robert J Torgrimson PA Chiropractor Past Accepting new patients
Hands on Solutions PPLC Chiropractor PastSince May 14, 2023 Accepting new patients

Locations

4325 Grand Ave
Duluth, MN 55807
Phone (218) 628-7035

4602 Grand Ave
Ste 1000
Duluth, MN 55807
Phone (218) 336-3520

2222 E 5th St
Superior, WI 54880
Phone (715) 392-1955

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1487647723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E 5TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548803709",
            "telephone_number": "715-395-5393",
            "fax_number": "218-624-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E 5TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548803709",
            "telephone_number": "715-392-1955",
            "fax_number": "715-392-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4602 Grand Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558072712",
            "country_code": "US",
            "telephone_number": "218-336-3520",
            "fax_number": "218-624-6097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMSTEDT",
        "first_name": "JASON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3800",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5773-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.