Bjorlie Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BJORLIE CHIROPRACTIC CLINIC, P.C.

Practice address

1383 21St Ave N Suite a
Fargo, ND 58102

Phone

(701) 235-8050

Fax

(701) 298-3738

NPI assigned

Jan 31, 2007

Last updated

Dec 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Bjorlie, D.C.NPI 1467599084

Title

President

Phone

(701) 235-8050

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bjorlie Chiropractic Clinic, P. C. Other name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin N Bjorlie, D.C

  • Chiropractor
  • Fargo, ND
  • NPI 1467599084
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1952448573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 21ST AVE N SUITE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-235-8050",
            "fax_number": "701-298-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 21ST AVE N SUITE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58102",
            "telephone_number": "701-235-8050",
            "fax_number": "701-298-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJORLIE CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "BJORLIE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-235-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12554",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF MN",
            "identifier": "62849BJ",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF ND",
            "identifier": "00537001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bjorlie Chiropractic Clinic, P. C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bjorlie Chiropractic Clinic, P. C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paige Marie Bjerke, A-GNP-C
• Megan Marie Bjone
• Meribeth Bjoralt
• Gregory Thomas Bjorklund, PA-C
• Leah Dawn Bjorkman, OTR/L
• Kevin N Bjorlie, D.C
• Selina Bjorlie, O.D.
• Mason Louis Bjornson, DPT
• Timothy James Bjornson
• Carly Shae Bjornstad, LMT

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.