Individual provider Active NPI

Brenden Escober Buryska, DC

  • Chiropractor
  • Owatonna, MN
National Provider Identifier
1851056345
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6907 Issued in MN
Practice address
1414 S Oak Ave Ste 4
Owatonna, MN 55060-3957
Phone
(507) 455-0199
Fax
(507) 455-9224
NPI assigned
Nov 1, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6907 MN Primary

Addresses

Primary practice location

1414 S Oak Ave Ste 4
Owatonna, MN 55060-3957

Mailing address

771 Churchill Dr
Owatonna, MN 55060-4414
Phone (507) 475-4247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111001828 MN Practitioner - Chiropractic 2365831401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McGregor Chiropractic PCGroup PAC ID 2365544384, 3 clinicians

Practice addresses (Care Compare)

1414 S Oak Ave
Suite 4
Owatonna, MN 55060-3957
Phone (507) 455-0199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McGregor Chiropractic PC Chiropractor CurrentSince Nov 1, 2021 Accepting new patients

Locations

1414 S Oak Ave
Ste 4
Owatonna, MN 55060
Phone (507) 455-0199

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1851056345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 CHURCHILL DR",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604414",
            "telephone_number": "507-475-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S OAK AVE STE 4",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603957",
            "telephone_number": "507-455-0199",
            "fax_number": "507-455-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURYSKA",
        "first_name": "BRENDEN",
        "middle_name": "ESCOBER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.