Ronald Scott McBride Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

002981 Issued in MN

Practice address

1751 SE 2ND Ave
Suite 3
Grand Rapids, MN 55744-2586

Phone

(218) 326-2828

Fax

(218) 326-2516

NPI assigned

Nov 20, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• McBride Chiropractic PA

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1457491862
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1609940840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 SE 2ND AVE",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442586",
            "telephone_number": "218-326-2828",
            "fax_number": "218-326-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SE 2ND AVE",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442586",
            "telephone_number": "218-326-2828",
            "fax_number": "218-326-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "002981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767326400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00067312",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3C527MC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Will Martin
• Alexis Charlene Martire, CNP
• McBride Chiropractic PA
• Leanna Marie Marking McBride, D.D.S.
• Ronald S McBride Sr., DC
• Andrew Michael McCann, PT
• Kelly Jo McCue, OTR/L
• Daniel Joseph McGuire, MD
• Dawna Lynn McLaughlin, BA, LADC
• James McNear III

• Chiropractor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.