Individual provider Active NPI

Bradley Kenneth Handeland, D.C., CKTP

  • Chiropractor
  • Clarkfield, MN
National Provider Identifier
1699953760
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5052 Issued in MN
Practice address
920 10TH St Ste 7
Handeland Chiropractic
Clarkfield, MN 56223-1304
Phone
(612) 581-2907
NPI assigned
Jan 31, 2008
Last updated
Dec 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5052 MN Primary

Addresses

Primary practice location

920 10TH St Ste 7
Handeland Chiropractic
Clarkfield, MN 56223-1304

Mailing address

920 10TH St Ste 7
Handeland Chiropractic
Clarkfield, MN 56223-1304
Phone (612) 581-2907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080418000438 MN Practitioner - Chiropractic 1951489749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 10TH St
Suite 7
Clarkfield, MN 56223-1378
Phone (320) 669-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5052MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Handeland Chiropractic, LLC Chiropractor CurrentSince Jan 10, 2011 Accepting new patients

Locations

920 10th St
Ste 7
Clarkfield, MN 56223
Phone (320) 669-1980

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, 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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1699953760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 10TH ST STE 7",
            "address_2": "HANDELAND CHIROPRACTIC",
            "city": "CLARKFIELD",
            "state": "MN",
            "postal_code": "562231304",
            "telephone_number": "612-581-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 10TH ST STE 7",
            "address_2": "HANDELAND CHIROPRACTIC",
            "city": "CLARKFIELD",
            "state": "MN",
            "postal_code": "562231304",
            "telephone_number": "612-581-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDELAND",
        "first_name": "BRADLEY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C., CKTP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.