Bronson Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRONSON CHIROPRACTIC LLC

Doing business as

Core Lifestyle Clinic

Practice address

2837 Lyndale Ave S
Minneapolis, MN 55408-2109

Phone

(612) 872-9596

NPI assigned

Feb 21, 2023

Last updated

Sep 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gavin Bronson, DCNPI 1942834734

Title

Owner

Phone

(612) 916-3256

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Core Lifestyle Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gavin Bronson, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1942834734
  Medicare reassignment NPD Authorized official
• Devin Harwood

  • Massage Therapist
  • Minneapolis, MN
  • NPI 1033082391
  NPD
• Taylor Meyers, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1003328170
  NPD
• Jessica Rasmussen, D.C.

  • Chiropractor
  • Shakopee, MN
  • NPI 1437514254
  NPD
• Andrew Risvold, D.C.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1730571605
  NPD
• Erica Wilczek, PT, DPT

  • Physical Therapist
  • Minneapolis, MN
  • NPI 1104360437
  NPD
• Jeremy Lee Barthels, D.C.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1780617670
  NPD (past)
• Caitlin J Coombs

  • Chiropractor
  • Eagan, MN
  • NPI 1598309189
  NPD (past)
• Darin John Wagner, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1134585482
  NPD (past)
• Neil Clifton Crane, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1861784431
  NPD (past)
• Steven Andrew Hyjek, DC

  • Chiropractor
  • Irvine, CA
  • NPI 1972665479
  NPD (past)

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1801594619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082109",
            "telephone_number": "612-872-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082109",
            "telephone_number": "612-872-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-916-3256",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H400649245",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Lifestyle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Constance Ann Bromaghim
• Jacob Walter Bromaghim
• Faith Caroline Broman
• Ryan Michael Bromander, PHARM.D.
• Kelli Bronder, APRN,CNP,RN
• Gavin Bronson, DC
• Michael Lamont Bronson
• Thera Bronsord
• Doris Carol Anderson Brooker, M.D.
• Jeremy Brookins, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.