Dillon Bruxvoort

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

8100 Northland Dr
Bloomington, MN 55431-4800

Phone

(952) 831-8742

NPI assigned

Oct 15, 2018

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1780150946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 160TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 NORTHLAND DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314800",
            "telephone_number": "952-831-8742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4523 160th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503232281",
            "country_code": "US",
            "telephone_number": "515-577-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUXVOORT",
        "first_name": "DILLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron B Browne, PA-C
• Brittany Brownell, DC
• Annika Bruestle
• Ashley Nicole Bruggeman
• Connie Bruhn
• Stephani Louise Bruyer, M.A.
• Mark Buboltz, O.D.
• Beverly Denise Buchanan, M.A., LMFT, LADC
• Kiley Buchanan
• Michelle Kaju Buchl, LADC

• Athletic Trainer in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.