Individual provider Active NPI

Brandon Vondrak

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1669264016
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1513 Issued in SD
Practice address
5128 S Cliff Ave Ste 200
Sioux Falls, SD 57108-5454
Phone
(605) 357-8093
NPI assigned
May 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1513 SD Primary

Addresses

Primary practice location

5128 S Cliff Ave Ste 200
Sioux Falls, SD 57108-5454

Mailing address

4917 S Graystone Ave Unit 3
Sioux Falls, SD 57108-8566
Phone (712) 577-1585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230001928 SD Practitioner - Chiropractic 0648763631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5128 S Cliff Ave
Suite 200
Sioux Falls, SD 57108-5475
Phone (605) 357-8093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1513SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource Chiropractic & Progressive Rehab of Sioux Falls PC Chiropractor CurrentSince Aug 22, 2025 Accepting new patients

Locations

5128 S Cliff Ave
Ste 200
Sioux Falls, SD 57108
Phone (605) 357-8093

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1669264016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 S GRAYSTONE AVE UNIT 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088566",
            "telephone_number": "712-577-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 S CLIFF AVE STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085454",
            "telephone_number": "605-357-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDRAK",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.