RODD BARCLAY BRUNTJEN (NPI# 1245365006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245365006 |
Entity Type | Individual |
Full Name | RODD BARCLAY BRUNTJEN |
Credential | DC |
Practice Address |
2233 Energy Park Drive Suite 500 Saint Paul MN 55108 |
Practice Telephone | 6516462233 |
Practice Fax Number | 6516462936 |
Mailing Telephone | 6516462233 |
Mailing Fax Number | 6516462936 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2012-09-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4051 | MN | Chiropractic Providers |
Street Address |
2233 ENERGY PARK DRIVE SUITE 500 |
City | SAINT PAUL |
State | MN |
Zip Code | 55108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
Find all providers in zip 55108 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
1265061709 | Saint Paul Chiropractic Pllc | Chiropractor | 91 Snelling Ave N Ste 220, Saint Paul, MN 55104-6756 | 2020-04-06 |
1720622806 | Andreas Ezer | Chiropractor | 33 Hamline Ave S Ste 100, Saint Paul, MN 55105-2231 | 2019-11-01 |
1891284733 | Abby Mae Bachmeier | Chiropractor | 333 Grand Ave Ste 102, Saint Paul, MN 55102-2584 | 2018-05-07 |
1801304852 | Kyle Nolan Walsh | Chiropractor | 33 Avon St S Apt 6, Saint Paul, MN 55105-3186 | 2018-01-11 |
1154859866 | Sara Livia Cooper | Chiropractor | 1 Water St W Ste 270, Saint Paul, MN 55107-2053 | 2017-05-24 |
1982146502 | Neville Lambourne | Chiropractor | 393 Dunlap St N Ste Ll38, Saint Paul, MN 55104-4202 | 2016-11-14 |
1457804643 | Pamela Joy Comes | Chiropractor | 1700 Rice St Ste B, Saint Paul, MN 55113-6812 | 2016-07-25 |
1437511995 | Andrew David Cook | Chiropractor | 21 Langford Park, Saint Paul, MN 55108-1910 | 2016-03-24 |
1598130924 | Chirodefense, LLC | Chiropractor | 1068 Payne Ave, Saint Paul, MN 55130-3843 | 2015-12-10 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55108 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.