Active NPI
Bradley Robert Thomsen, D.C.
- Chiropractor
- Grand Forks, ND
National Provider Identifier
1801888342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 649
- Practice address
- 2534 17TH Ave S
Suite 2D
Grand Forks, ND 58201-5215 - Phone
- (701) 746-8636
- Fax
- (701) 746-8827
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 649 | ND | Primary |
Addresses
Primary practice location
2534 17TH Ave S
Suite 2D
Grand Forks, ND 58201-5215
Mailing address
PO Box 12875
Grand Forks, ND 58208-2875
Phone (701) 746-8636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10583 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2534 17TH Ave S
Suite D2
Grand Forks, ND 58201-5215
Phone (701) 746-8636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red River Family Chiropractic, PC | Chiropractor | Current | Accepting new patients |
Locations
1815 Demers Ave
Grand Forks, ND 58201
Phone (201) 746-8636
2534 17th Ave S
Ste D2
Grand Forks, ND 58201
Phone (701) 746-8636
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.
-
- Chiropractor
- Grand Forks, ND
- NPI 1033395280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1801888342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12875",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582082875",
"telephone_number": "701-746-8636",
"fax_number": "701-746-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2534 17TH AVE S",
"address_2": "SUITE 2D",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015215",
"telephone_number": "701-746-8636",
"fax_number": "701-746-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSEN",
"first_name": "BRADLEY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10583",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.