Brad Allen Kluver, DC

Individual provider Active NPI Chiropractor · Mount Vernon, IA

NPI 1831248723 · NPPES record last updated Sep 12, 2007

Key facts

NPI
1831248723
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
06632 (IA)
Practice address
111 1St Street East
Mount Vernon, IA 52314
Phone
(319) 895-6789
Fax
(319) 895-6789
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 1St St NE
Mount Vernon, IA 52314-1422
Phone (319) 895-6789

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050305000005 IA Practitioner - Chiropractic 1557315397 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
06632IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kluver Chiropractic, PC Chiropractor Current
since Jan 15, 2005
Accepting new patients

Locations

111 1st St NE
Mount Vernon, IA 52314
Phone (319) 895-6789

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06632 IA Yes

Addresses

Primary practice location

111 1St Street East
Mount Vernon, IA 52314

Mailing address

111 1St Street East
Mount Vernon, IA 52314
Phone (319) 895-6789

Other identifiers

IdentifierTypeStateIssuer
0458620MedicaidIA
37907OtherIABCBS

Other providers in Mount Vernon, IA

All providers in Mount Vernon, IA · Chiropractor in Iowa

Sources for this page

Verify at the official NPI Registry.