Bernard Paul O'Brien, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3794 Issued in MN

Practice address

101 W Burnsville Pkwy
Suite 204
Burnsville, MN 55337-2571

Phone

(952) 224-9501

Fax

(952) 224-9503

NPI assigned

Apr 19, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Skyline Chiropractic, P.a.

  • Chiropractor
  • Burnsville, MN
  • NPI 1841366085
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891912903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BURNSVILLE PKWY",
            "address_2": "SUITE 204",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372571",
            "telephone_number": "952-224-9501",
            "fax_number": "952-224-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BURNSVILLE PKWY",
            "address_2": "SUITE 204",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372571",
            "telephone_number": "952-224-9501",
            "fax_number": "952-224-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "BERNARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "64B05OB",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monicah Nyakoe, OT
• Simon Momanyi Nyamari, RN
• Faith Monyangi Nyamweya, RN
• Immaculate Nyangoma
• Nancy Nekesa Nyongesa, DNP
• Emily Barbara O'Neil, M.D.
• Angela Marissa O'Neill, PT
• Owen Roe O'Neill, M.D.
• Kirsten O'Rourke, OTR/L
• Marissa M. Oachs, ATC/ATR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.