Active NPI
Brian Lee Hedman, D.C.
- Chiropractor
- Windom, MN
National Provider Identifier
1932145141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003255
- 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.
-
- Chiropractor
- Windom, MN
- NPI 1871535591
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060823000045 | MN | Practitioner - Chiropractic | 2668475104 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003255 | MN | MD | Chiropractor |
| 3255 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hedman Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
Locations
307 9th St
Windom, MN 56101
Phone (507) 831-4770
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 003255 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10156 | Other | MN | CCMI |
| 4C695HE | Other | MN | BCBS OF MN |
| 231970 | Other | MN | U CARE |
| 22049 | Other | MN | SIOUX VALLEY HEALTH PLAN |
| 1016365 | Other | MN | PREFERRED 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.