Brandon Paul Krueger, DC
Individual provider Active NPI Chiropractor · Huron, OH
NPI 1629637582 · NPPES record last updated Jun 13, 2019
Key facts
- NPI
- 1629637582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-04864 (OH)
- Practice address
- 2401 Sawmill Pkwy Ste 3
Huron, OH 44839-2284 - Phone
- (419) 602-1978
- NPI assigned
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
358 Main St
Suite 3000
Huron, OH 44839-1663
Phone (419) 602-9815
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190820001669 | OH | Practitioner - Chiropractic | 8123355492 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Chiropractic LLC | Current |
Accepting new patients |
Locations
2401 Sawmill Pkwy
Ste 3
Huron, OH 44839
Phone (419) 602-1978
358 Main St
Ste 3000
Huron, OH 44839
Phone (419) 602-9815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-04864 | OH | Yes |
Addresses
Primary practice location
2401 Sawmill Pkwy Ste 3
Huron, OH 44839-2284
Mailing address
404 Wexford Dr
Huron, OH 44839-1463
Phone (419) 602-1978
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brandon.krueger@myidealchiro.com | Direct |
Other providers in Huron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.