Brandon Mickelson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5904 Issued in MN

Practice address

93 20TH St NE
Stewartville, MN 55976-8421

Phone

(507) 533-4777

NPI assigned

Dec 1, 2013

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 and National Provider Directory roles.

• Advanced Body Chiropractic PA

  • Chiropractor
  • Stewartville, MN
  • NPI 1760588651
  NPD (past)

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

{
    "created_epoch": "1385856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750712873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 20TH ST NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559768421",
            "telephone_number": "507-533-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 20TH ST NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559768421",
            "telephone_number": "507-533-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKELSON",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary John Lechner, D.D.S.
• Stephanie Christine Lillis, D.C.
• Lindsey Lilly
• Nicole Marie Lonien, M.S. CCC-SLP
• McBe Company
• Pamela Jo Mueller, RN, BSN, FCP
• Mary Nord
• Angela Offord, D.D.S
• Roger Lee Osborne
• Pearl Consulting LLC

• Chiropractor in Stewartville, MN
• Providers in Stewartville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.