Active NPI
Corey Brad Rodnick, D.C.
- Chiropractor
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004924
- Practice address
- 4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387 - Phone
- (989) 832-7535
- Fax
- (989) 832-1631
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2301004924 | MI | Primary |
Addresses
Primary practice location
4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387
Mailing address
4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387
Phone (989) 832-7535
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CR004924 | Other | MI | LICENSE |
| 1538663 | Medicaid | MI | |
| 950E661120 | Other | MI | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4604 N Saginaw Rd
Suite a
Midland, MI 48640-2394
Phone (989) 832-7535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodnick Chiropractic Consultants PC | Chiropractor | Current | Accepting new patients |
Locations
2685 Union Lake Rd
Commerce Twp, MI 48382
Phone (248) 366-6378
4604 N Saginaw Rd
Ste A
Midland, MI 48640
Phone (989) 631-7246
6165 Bay Rd
Saginaw, MI 48604
Phone (989) 792-7246
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
- Midland, MI
- NPI 1730290891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891808614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 N SAGINAW RD",
"address_2": "SUITE A",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402387",
"telephone_number": "989-832-7535",
"fax_number": "989-832-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4604 N SAGINAW RD",
"address_2": "SUITE A",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402387",
"telephone_number": "989-832-7535",
"fax_number": "989-832-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODNICK",
"first_name": "COREY",
"middle_name": "BRAD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "CR004924",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538663",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "950E661120",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- 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.