Southwest Chiropractic. LLC
NPI 1487864906ActiveOrganization· Chiropractor· Eden Prairie, MN
Chiropractor in Eden Prairie, Minnesota, registered in NPPES in May 2007. The authorized official on file is Bradley Dale Wildberg, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487864906 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2007 |
| Last updated in NPPES | Apr 17, 2024 |
| Certified by provider | Apr 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 2103 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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