Brian Clay Bak, DO

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

687 Issued in SD

Practice address

1 5TH St SE
Watertown, SD 57201-3778

Phone

(605) 882-4252

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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.

• Bak Chiropractic, P.C.

  • Health Service Clinic/Center
  • Watertown, SD
  • NPI 1629410345

  SD

  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861532913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 4TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014577",
            "telephone_number": "605-753-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 5TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013778",
            "telephone_number": "605-882-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAK",
        "first_name": "BRIAN",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600120",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hally J. Bach, D.D.S.
• Katelynn Elizabeth Bailey, DO
• Brooke Bailly
• Bak Chiropractic, P.C.
• Adrienne Bak, NP
• Heidi Maurine Barber, CNP
• Christina M Barrett, PT
• Lindsey Anne Barthel, NP-C
• Abbygail Rose Bartlett
• Mary Claire Bauer

• All providers in Watertown, SD
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.