BRUCE PEARSON PA (NPI# 1508032376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508032376 |
| Entity Type | Organization |
| Organization Name | BRUCE PEARSON PA |
| Other Organization Name | NATURAL CHIROPRACTIC CENTER |
| Practice Address |
3655 Plymouth Blvd Suite 100 Plymouth MN 55446-3664 |
| Practice Telephone | 7634764770 |
| Mailing Telephone | 7634764770 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2009-03-25 |
| Authorized Official Name | BRUCE PEARSON (DOCTOR/OWNER) |
| Authorized Official Telephone | 7634764770 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 003660 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 40B51PE | 01 |
| Other Name | Type Code |
|---|---|
| Natural Chiropractic Center | Doing Business As Name - Organization |
| Street Address |
3655 PLYMOUTH BLVD SUITE 100 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378020 | Phillip M Ecker | Dermatology | 3655 Plymouth Blvd, Suite 110, Plymouth, MN 55446-3664 | 2005-12-28 |
| 1609009380 | Minnesota Dermatology, Pa | Dermatology | 3655 Plymouth Blvd, Suite 110, Plymouth, MN 55446-3664 | 2009-08-28 |
| 1598802035 | Bruce Eugene Pearson | Chiropractor | 3655 Plymouth Blvd, Plymouth, MN 55446-3664 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| 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 |
|---|---|---|---|---|
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1003426495 | Erica Danielle Kiela | Chiropractor | W5948 County Road Z, Plymouth, WI 53073-4004 | 2020-07-31 |
| 1215578257 | Michael Lawson | Chiropractor | 88 Sandwich St Unit 2, Plymouth, MA 02360-3334 | 2019-10-01 |
| 1639726060 | Nicholas John-edward Gingell | Chiropractor | 9450 S Main St Ste 106, Plymouth, MI 48170-4184 | 2019-08-21 |
| 1013431493 | David Swain | Chiropractor | 915 S Main St Ste F, Plymouth, MI 48170-2048 | 2017-07-27 |
| 1598202301 | Jessica Lynn Larkin | Chiropractor | 4205 Lancaster Ln N Ste 105, Plymouth, MN 55441-1702 | 2017-01-31 |
| 1700323284 | Joy Wyatt | Chiropractor | 15805 47th Ave N, Plymouth, MN 55446-2152 | 2017-01-23 |
| 1902209042 | Renewed Mobility Chiropractic, P.C. | Chiropractor | 9329 N Haggerty Rd, Plymouth, MI 48170-4622 | 2014-10-03 |
| 1083031843 | Mitchell Alan Brecke | Chiropractor | 5480 Nathan Lane North, Suite 102, Plymouth, MN 55442-1868 | 2014-03-18 |
| 1174940936 | Nicholas Curry | Chiropractor | 5480 Nathan Ln N Ste 102, Plymouth, MN 55442-1995 | 2014-03-18 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on BRUCE PEARSON PA.
| 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.