Active NPI
Brad Feldner, D.C.
- Chiropractor
- Fargo, ND
National Provider Identifier
1861693038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 719
- Practice address
- 300 45TH St S Ste 315
Fargo, ND 58103-6511 - Phone
- (701) 893-7873
- Fax
- (701) 893-7876
- NPI assigned
- May 29, 2007
- 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 | 719 | ND | Primary |
Addresses
Primary practice location
300 45TH St S Ste 315
Fargo, ND 58103-6511
Mailing address
300 45TH St S
Ste 315
Fargo, ND 58103-6511
Phone (701) 893-7873
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60602000 | Medicaid | MN | |
| 18577 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719 | ND | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
300 45th St S
Ste 315
Fargo, ND 58103
Phone (701) 356-7660
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
- Fargo, ND
- NPI 1093014235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1861693038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 45TH ST S",
"address_2": "STE 315",
"city": "FARGO",
"state": "ND",
"postal_code": "581036511",
"telephone_number": "701-893-7873",
"fax_number": "701-893-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 45TH ST S STE 315",
"city": "FARGO",
"state": "ND",
"postal_code": "581036511",
"telephone_number": "701-893-7873",
"fax_number": "701-893-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDNER",
"first_name": "BRAD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60602000",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18577",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.