Bo Wesley Greig, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5598 Issued in MN

Practice address

804 Freeport Ave NW
Suite C
Elk River, MN 55330-2632

Phone

(763) 441-0644

NPI assigned

Jan 15, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Directcare Chiropractic, PA

  dba HealthSource Chiropractic of Elk River

  • Chiropractor
  • Elk River, MN
  • NPI 1740406685
  NPD (past)
• Healthsource of White Bear Lake, PLLC

  • Chiropractor
  • White Bear Lake, MN
  • NPI 1073767372
  NPD (past)

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

{
    "created_epoch": "1326585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326585600000",
    "number": "1689945156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13767 VALE ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044075",
            "telephone_number": "763-227-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 FREEPORT AVE NW",
            "address_2": "SUITE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302632",
            "telephone_number": "763-441-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREIG",
        "first_name": "BO",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-15",
        "last_updated": "2012-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerriann Godwin
• Hannah Goettl, DPT
• Goodrich Pharmacy, Inc. (Goodrich Pharmacy Elk River)
• Wilfred Edwin Gould III, MD
• Teresa Kay Gray, M.D.
• Georgina Marie Greil, D.O
• Jeanne Katherine Greisen, RPH
• Group Health, Inc. (Riverway - Elk River Clinic)
• Group Health, Inc. (Well@Work Sherburne County)
• Kefeng Gu, M.D.

• Chiropractor in Elk River, MN
• Providers in Elk River, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.