Dr. Brett David Mortenson
Chiropractor

Address: 4444 W 76th St, Ste 400, Edina, MN 55435-5178
Phone: 6129637844

Dr. Brett David Mortenson (NPI# 1205975620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1205975620
Entity Type Individual
Full Name Dr. Brett David Mortenson
Credential D.C.
Gender Male
Practice Address 4444 W 76th St
Ste 400
Edina
MN 55435-5178
Practice Telephone 6129637844
Mailing Address 4444 W 76th St
Ste 400
Edina
MN 55435-5178
Mailing Telephone 6129637844
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-02-05
Last Update Date 2016-09-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 111N00000X Chiropractor Chiropractic Providers 3508 MN

Other Provider Identifier

State Identifier Issuer Type Code
MN 409898600 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1700216561 Brett Mortenson Nurse Practitioner 1000 Vale Terrace Dr, Vista, CA 92084-5218 2013-11-14

Physician Overview

NPI 1205975620
PAC ID by PECOS 0648352344
Professional Enrollment ID I20080204000430
Full Name Brett D Mortenson
Gender M
Medical School PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year 1997
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457969206 Beau Macmillan Bates Chiropractor 7400 Metro Blvd Ste 222, Edina, MN 55439-2321 2020-07-17
1942834734 Gavin Bronson Chiropractor 5201 Eden Ave Ste 190, Edina, MN 55436-2368 2020-03-02
1750912291 Jordan Shilts Chiropractor 4820 W 77th St Ste 150, Edina, MN 55435-4822 2020-02-03
1164916425 Scott Eric Hawkins Chiropractor 7129 France Ave S, Edina, MN 55435-4304 2018-06-20
1992216295 Vitality Life Chiropractic, LLC Chiropractor 7250 France Ave S, Ste 300a, Edina, MN 55435-4305 2017-10-13
1780112847 Jessica Mae Boyles Chiropractor 7301 Ohms Ln Ste 430, Edina, MN 55439-2376 2017-06-01
1255798617 Radiance Spine Injury & Wellness Center Chiropractor 7201 York Ave S Apt 1219, Edina, MN 55435-4447 2016-01-15
1912372772 Sharon Williams Prahl Chiropractor 7600 Parklawn Ave Ste 349, Edina, MN 55435-5193 2015-12-04
1245616085 Evan Natvig Chiropractor 6550 York Ave. S, Suite 303, Edina, MN 55435 2015-08-04
1144574880 Christopher Bargmann Chiropractor 3925 W 50th St Ste 202, Edina, MN 55424-1247 2012-11-02
Find all providers in EDINA

Office Location

Street Address 4444 W 76TH ST
STE 400
City EDINA
State MN
Zip Code 55435-5178

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235674094 Minnesota Medical & Rehabilitative Services, LLC Neurological Surgery 4444 W 76th St, Suite 700, Edina, MN 55435-5173 2017-01-03
1598210015 Motion Lab Chiropractic Pllc Chiropractor 4444 W 76th St, Suite 400, Edina, MN 55435-5173 2016-08-25
1689040222 Nurture Counseling Center, LLC Social Worker 4444 W 76th St, Suite 400, Edina, MN 55435-5173 2015-08-18
1144641978 Inner Balance Family Chiropractic Plc Chiropractor 4444 W 76th St, Suite 300, Edina, MN 55435-5173 2013-12-20
1437581022 Danielle Klick Chiropractor 4444 W 76th St, Suite 300, Edina, MN 55435-5173 2013-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1659920460 Jand. Inc. Eyewear Supplier 3408 Galleria, Edina, MN 55435 2019-09-05
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1538666326 Amanda Deangelo Physical Therapist 6401 Southdale Hospital, Ll3g, Edina, MN 55435 2018-04-09
1982107876 Julia Seliber Dental Hygienist 7600 France Ave.s. Suite 1100, Edina, MN 55435 2018-03-16
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1730605528 Edina Medical Supplies Durable Medical Equipment & Medical Supplies 7455 France Ave., #614 S, Edina, MN 55435 2017-08-14
1033565510 Minnesota Disc Replacement and Spine Restoration Center Clinic/Center 4444 76 St, #700, Edina, MN 55435 2016-05-13
1306206321 Barb Ryan Mechanotherapist 7550 France Avenue S, #220, Edina, MN 55435 2016-03-03
Find all providers in zip 55435

Competitor

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City EDINA
Zip Code 55435

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Dataset Information

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.