Individual provider Active NPI

Brian Lee Hedman, D.C.

  • Chiropractor
  • Windom, MN
National Provider Identifier
1932145141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003255 Issued in MN
Practice address
307 9TH St
Windom, MN 56101-1658
Phone
(507) 831-4770
Fax
(507) 831-2077
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

307 9TH St
Windom, MN 56101-1658
Phone (507) 831-4770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000045 MN Practitioner - Chiropractic 2668475104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003255MNMDChiropractor
3255MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hedman Chiropractic Center LLC Chiropractor CurrentSince Jul 20, 2006 Accepting new patients

Locations

307 9th St
Windom, MN 56101
Phone (507) 831-4770

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003255 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

307 9TH St
Windom, MN 56101-1658

Mailing address

307 9TH St
Windom, MN 56101-1658
Phone (507) 831-4770

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
10156OtherMNCCMI
4C695HEOtherMNBCBS OF MN
231970OtherMNU CARE
22049OtherMNSIOUX VALLEY HEALTH PLAN
1016365OtherMNPREFERRED ONE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932145141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 9TH ST",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011658",
            "telephone_number": "507-831-4770",
            "fax_number": "507-831-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 9TH ST",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011658",
            "telephone_number": "507-831-4770",
            "fax_number": "507-831-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDMAN",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCMI",
            "identifier": "10156",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "4C695HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "231970",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "22049",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1016365",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windom, MN

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.