Individual provider Active NPI

Bradley John Schaff, D.C.

  • Chiropractor
  • North Mankato, MN
National Provider Identifier
1730290362
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4752 Issued in MN
Practice address
1712 James Dr
North Mankato, MN 56003-1804
Phone
(507) 385-2000
Fax
(507) 385-1933
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4752 MN Primary

Addresses

Primary practice location

1712 James Dr
North Mankato, MN 56003-1804

Mailing address

1712 James Dr
North Mankato, MN 56003-1804
Phone (507) 385-2000

Other identifiers 1

IdentifierTypeStateIssuer
226643100MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000465 MN Practitioner - Chiropractic 9931120763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Chiropractic of Mankato PCGroup PAC ID 5698724409, 3 clinicians

Practice addresses (Care Compare)

1712 James Dr
North Mankato, MN 56003-1804
Phone (507) 385-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4752MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic of Mankato, PC Chiropractor CurrentSince Dec 1, 2005 Accepting new patients

Locations

1712 James Dr
North Mankato, MN 56003
Phone (507) 385-2000

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1730290362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 JAMES DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031804",
            "telephone_number": "507-385-2000",
            "fax_number": "507-385-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 JAMES DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031804",
            "telephone_number": "507-385-2000",
            "fax_number": "507-385-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFF",
        "first_name": "BRADLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226643100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.