Brad R Roshau, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

620 Issued in ND

Practice address

1715 Burnt Boat Dr
Bismarck, ND 58503-0812

Phone

(701) 221-2600

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Roshau Chiropractic and Sports Injury Center, PCGroup PAC ID 9830239615, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Roshau Chiropractic and Sports Injury Center, PC

  • Chiropractor
  • Bismarck, ND
  • NPI 1548456254
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891831624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BURNT BOAT DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030812",
            "telephone_number": "701-221-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BURNT BOAT DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030812",
            "telephone_number": "701-221-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHAU",
        "first_name": "BRAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karli A. Rosen, PH.D.
• Samantha Sue Rosenkranz-Alagic
• Anton Rosenthal, M.D.
• Sara Rosenvold, LSW
• Roshau Chiropractic and Sports Injury Center, PC
• Colton Carl Roshau
• Leah Renee Ross
• Elyse Rossman, MS OTR/L
• Robert J Roswick, MD
• Lacey Vanessa Roth

• Chiropractor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Chiropractor in North 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.