Individual provider Active NPI

Corey Brad Rodnick, D.C.

  • Chiropractor
  • Midland, MI
National Provider Identifier
1891808614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004924 Issued in MI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CR004924OtherMILICENSE
1538663MedicaidMI
950E661120OtherMIBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000619 MI Practitioner - Chiropractic 0648168989 Reassigns benefits to 1 organization

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
Rodnick Chiropractic Consultants PCGroup PAC ID 7315835659, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Rodnick Chiropractic Consultants PC Chiropractor CurrentSince Jun 15, 1999 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.

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.

Verify at the official NPI Registry.