Broderick Schmidt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6294 Issued in MN

Practice address

1675 Center Ave W
Suite B
Dilworth, MN 56529-1346

Phone

(218) 236-1187

Fax

(218) 236-8514

NPI assigned

Dec 5, 2016

Sex

Male

Sole proprietor

Yes

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.

• Legacy Chiropractic and Wellness PLLC

  • Chiropractor
  • Dilworth, MN
  • NPI 1285178301
  Medicare reassignment NPD Authorized official
• Activecare Chiropractic

  • Chiropractor
  • Alexandria, MN
  • NPI 1861573974
  NPD (past)

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MN

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2016.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1780128132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 CENTER AVE W",
            "address_2": "SUITE B",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291346",
            "telephone_number": "218-236-1187",
            "fax_number": "218-236-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CENTER AVE W",
            "address_2": "SUITE B",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291346",
            "telephone_number": "218-236-1187",
            "fax_number": "218-236-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "BRODERICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cristi A Schuer, LMT
• Kathryn Ann Schultz
• Serenity Living Center
• Maizey Sheeley

• All providers in Dilworth, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.