Active NPI
Gerald Priley, D.C.
- Chiropractor
- Duluth, MN
National Provider Identifier
1669508693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2330
- Practice address
- 1118 E Superior St
Duluth, MN 55802-2217 - Phone
- (218) 728-3639
- Fax
- (218) 728-2603
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2330 | MN | Primary |
Addresses
Primary practice location
1118 E Superior St
Duluth, MN 55802-2217
Mailing address
1118 E Superior St
Duluth, MN 55802-2217
Phone (218) 728-3639
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74678PR | Other | MN | BLUE CROSS |
| 509227200 | Medicaid | MN | |
| 350051049 | Other | MN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1118 E Superior St
Duluth, MN 55802-2217
Fisher Chiropractic Clinic
1118 E Superior St
Duluth, MN 55802-2217
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2330 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisher Chiropractic Clinic LTD | Chiropractor | Current | Accepting new patients |
| Accend Services Incorporated | Past | Accepting new patients |
Locations
1118 E Superior St
Duluth, MN 55802
Phone (218) 724-4077
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 and National Provider Directory roles.
-
- Chiropractor
- Duluth, MN
- NPI 1265517809
-
- Adult Mental Health Clinic/Center
- Duluth, MN
- NPI 1417023458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1669508693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 E SUPERIOR ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022217",
"telephone_number": "218-728-3639",
"fax_number": "218-728-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 E SUPERIOR ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022217",
"telephone_number": "218-728-3639",
"fax_number": "218-728-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRILEY",
"first_name": "GERALD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "74678PR",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "509227200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350051049",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.