Hedman Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003255 Issued in MN

Legal business name

HEDMAN CHIROPRACTIC CENTER LLC

Practice address

307 9TH St
Windom, MN 56101-1658

Phone

(507) 831-4770

Fax

(507) 831-2077

NPI assigned

Jun 11, 2006

Last updated

Jun 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Lee Hedman, D.C.NPI 1932145141

Title

Governor

Phone

(507) 831-4770

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Lee Hedman, D.C.

  • Chiropractor
  • Windom, MN
  • NPI 1932145141
  Medicare reassignment NPD Authorized official
• Melissa Anne Gunderson, LCSW, LICSW

  • Clinical Social Worker
  • Sioux Falls, SD
  • NPI 1174976484
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1871535591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 9TH ST",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011658",
            "telephone_number": "507-831-4770",
            "fax_number": "507-831-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 9TH ST",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011658",
            "telephone_number": "507-831-4770",
            "fax_number": "507-831-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDMAN CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "HEDMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GOVERNOR",
        "authorized_official_telephone_number": "507-831-4770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCMI",
            "identifier": "10156",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1016365",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563327300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "231970",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "22049",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "4C694HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SERVICES MGMT, INC",
            "identifier": "411508205",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Joan Harder, NP
• Hartberg Medical Clinic P.a.
• Steven Paul Hartberg, M.D.
• Jennifer Haugen-Hesse
• Myra Jean Heckenlaible-Gotto, L.P.
• Brian Lee Hedman, D.C.
• Laridee Herding, DPT
• Kiana Marie Cullinan Hiemstra, DDS
• James C Hinshaw, MD
• Home for Creative Living

• Chiropractor in Windom, MN
• Providers in Windom, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.

Verify at the official NPI Registry.