Brian Anthony Kroll, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MN2593 Issued in MN

Practice address

305 Bush St
Red Wing, MN 55066-2527

Phone

(651) 388-4378

Fax

(651) 388-4385

NPI assigned

Mar 20, 2007

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

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Heaven'S Gate Chiropractic, PC

  • Chiropractor
  • Red Wing, MN
  • NPI 1467676346
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1487779534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BUSH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662527",
            "telephone_number": "651-388-4378",
            "fax_number": "651-388-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BUSH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662527",
            "telephone_number": "651-388-4378",
            "fax_number": "651-388-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "MN2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy D Kolstad, PHARM.D.
• Mandy Marie Koverman
• Tanner Vaughn Kramp
• Alison Louise Krech, RN, PHN
• Cassandra Ann Krie
• Lindsay Kubina, PHARMD
• Jennifer Kuehn, MS, CEP
• Amanda Kuhn
• Kuipers Orthodontics
• Brenda Kurth

• Chiropractor in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.