Individual provider Active NPI

Bryan Julian-Clifford Belcher, DC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1558869883
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6463 Issued in MN
Practice address
13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733
Phone
(952) 890-0804
NPI assigned
Feb 1, 2018
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6463 MN Primary

Addresses

Primary practice location

13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733

Mailing address

13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733
Phone (952) 890-0804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219000203 MN Practitioner - Chiropractic 4587925383 Reassigns benefits to 2 organizations

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)

1235 S Pokegama Ave
Suite 17
Grand Rapids, MN 55744-4208
Phone (218) 999-9227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Always in Motion Chiropractic and Wellness, PA Chiropractor CurrentSince Mar 1, 2022 Accepting new patients
Piff Holdings, P.C. Chiropractor CurrentSince Feb 1, 2018 Accepting new patients

Locations

13955 W Preserve Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 890-0804

1235 S Pokegama Ave
Ste 17
Grand Rapids, MN 55744
Phone (218) 999-9227

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.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1558869883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13955 W PRESERVE BLVD STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377733",
            "telephone_number": "952-890-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13955 W PRESERVE BLVD STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377733",
            "telephone_number": "952-890-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "BRYAN",
        "middle_name": "JULIAN-CLIFFORD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.