Individual provider Active NPI

Brock Madsen, D.C.

  • Chiropractor
  • Montevideo, MN
National Provider Identifier
1669846689
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6138 Issued in MN
Practice address
1317 Grove Ave
Montevideo, MN 56265-1708
Phone
(320) 269-7135
Fax
(320) 269-7583
NPI assigned
Nov 16, 2015
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 6138 MN Primary

Addresses

Primary practice location

1317 Grove Ave
Montevideo, MN 56265-1708

Mailing address

525 Legion Dr
Ste #1
Montevideo, MN 56265-1722
Phone (320) 269-7135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208001272 MN Practitioner - Chiropractic 7719247915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madsen Family Chiropractic PLLCGroup PAC ID 1951713528, 3 clinicians

Practice addresses (Care Compare)

1317 Grove Ave
Montevideo, MN 56265-1708
Phone (320) 269-7135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6138MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Madsen Family Chiropractic, PLLC Chiropractor CurrentSince Dec 26, 2017 Accepting new patients

Locations

525 Legion Dr
Ste 1
Montevideo, MN 56265
Phone (320) 269-7135

1317 Grove Ave
Montevideo, MN 56265
Phone (320) 269-6416

Organizations & group practices 3

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": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1669846689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LEGION DR",
            "address_2": "STE #1",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651722",
            "telephone_number": "320-269-7135",
            "fax_number": "320-269-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 GROVE AVE",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651708",
            "telephone_number": "320-269-7135",
            "fax_number": "320-269-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "BROCK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.