Bruce William Vistad, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2579 Issued in MN

Practice address

301 N Union Ave
Fergus Falls, MN 56537-2129

Phone

(218) 736-5676

Fax

(218) 736-5677

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891835583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N UNION AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372129",
            "telephone_number": "218-736-5676",
            "fax_number": "218-736-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N UNION AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372129",
            "telephone_number": "218-736-5676",
            "fax_number": "218-736-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTAD",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Kay Vierstraete, LPN
• Kayla Vigen, PHARM.D
• Vision World Inc
• Visionworks, Inc.
• Vistad Chiropractic Clinic PA
• Amber Rae Volk, PT
• Kaley Voltz
• Mark T Vukonich, M.D.
• Kayla Rose Wagner, RD, LD
• Scott Allan Wagnild, DDS

• Chiropractor in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Chiropractor in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.