DR. BRUCE CHARLES CARROLL (NPI# 1922143726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922143726 |
| Entity Type | Individual |
| Full Name | DR. BRUCE CHARLES CARROLL |
| Credential | D.C. |
| Practice Address |
9 3rd St Ne Aitkin MN 56431-1421 |
| Practice Telephone | 2189272541 |
| Mailing Telephone | 2189272541 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1720 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS PROVIDER PIN | 41M15CA | 01 |
| MN | RAILROAD MEDICARE PIN | P00130495 | 01 |
| Street Address |
9 3RD ST NE |
| City | AITKIN |
| State | MN |
| Zip Code | 56431-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952731 | Cathleen Ann Twistol | Technician | 41544 270th Place, Aitkin, MN 56431 | 2019-09-24 |
| 1801051685 | Sean Robert Carl Fleming | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2008-07-22 |
| 1144354531 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 3 3rd Street Ne, Aitkin, MN 56431 | 2007-03-15 |
| 1366522138 | William E Stein | Dentist | 18 3rd St Sw, Aitkin, MN 56431 | 2006-10-16 |
| 1831282557 | John T Mateyka | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-02 |
| 1134231590 | Aitkin Pharmacy Services, LLC | Pharmacy | 25 2nd Street, Ne, Aitkin, MN 56431 | 2006-08-31 |
| 1679959068 | Sharon Richardson | Counselor | 520 Nw 5th Street, Brainerd, MN 56431 | 2015-08-07 |
| 1518379288 | Mclean Severson | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2014-05-28 |
| 1679844260 | Jennifer Klee | Physical Therapist | 200 Bunker Hill Dr, Riverwood Healthcare Center, Aitkin, MN 56431 | 2012-01-13 |
| 1902960875 | Aitkin Community Hospital, Inc. | Clinic/Center | 200 Bunker Hill Dr, Aitkin, MN 56431 | 2006-12-21 |
| Find all providers in zip 56431 | ||||
| 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 |
|---|---|---|---|---|
| 1124649108 | Fulfilled Family Chiropractic Pllc | Chiropractor | 35840 400th Ave, Aitkin, MN 56431-5617 | 2020-05-01 |
| 1346872132 | Jenna Hye Min Kuiken | Chiropractor | Aitkin Family Chiropractic, 104 4th Street Nw, Aitkin, MN 56431-2402 | 2020-02-10 |
| 1245319680 | Paul Allen Kuiken | Chiropractor | 104 4th St Nw, Aitkin, MN 56431-1316 | 2006-11-05 |
| 1780205765 | Hannah Michelle Janzen | Chiropractor | 35840 400th Ave, Aitkin, MN 56431-5617 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.