Active NPI
Paul Christian Bierbrauer, D.C.
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1487699724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4657
- Practice address
- 221 10TH Ave S
Minneapolis, MN 55415-1216 - Phone
- (612) 332-4414
- Fax
- (612) 332-4244
- NPI assigned
- Jun 19, 2006
- Last updated
- Aug 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3291-012 | WI | |
| Chiropractor | 111N00000X | 4657 | MN | Primary |
Addresses
Primary practice location
221 10TH Ave S
Minneapolis, MN 55415-1216
Mailing address
221 10TH Ave S
Minneapolis, MN 55415-1216
Phone (612) 332-4414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38890000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
221 10TH Ave S
Minneapolis, MN 55415-1216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3291-012 | WI | MD | Chiropractor |
| 4657 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosemeyer Jones Chiropractic LLC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Minneapolis, MN
- NPI 1487883435
-
- Chiropractor
- Platteville, WI
- NPI 1447433164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1487699724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 10TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151216",
"telephone_number": "612-332-4414",
"fax_number": "612-332-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 10TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151216",
"telephone_number": "612-332-4414",
"fax_number": "612-332-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERBRAUER",
"first_name": "PAUL",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3291-012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38890000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.