DR. BRANDON ALLEN DYRDAHL DC
NPI 1437714805
Chiropractor in De Pere, WI

Active since May 01, 2019Accepts Medicare Assignment
1680 MID VALLEY DR STE C, DE PERE, WI 54115(920) 658-5040(920) 658-5039 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 15, 2021, Oct 28, 2019, Jul 17, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Brandon Allen Dyrdahl Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON ALLEN DYRDAHL DC (NPI 1437714805) is an individual chiropractor in De Pere, Wisconsin, licensed in Wisconsin (5470-12) and active in the NPI registry since May 2019. He is a graduate of Northwestern College Of Chiropractic (2019).

NPPES Registry Identity

NPI1437714805
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRANDON ALLEN DYRDAHLCredential: DC
Location Address1680 MID VALLEY DR STE CDe Pere, WI 54115-9517
Mailing Address1680 Mid Valley Dr Ste CDe Pere, WI 54115-9517 · (920) 658-5040 · Fax (920) 658-5039
Fax(920) 658-5039
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2019
Enumeration DateMay 1, 2019
Last NPPES UpdateDecember 15, 20214 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
NPI 1437714805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 5470-12
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.
1680 MID VALLEY DR STE C, De Pere, WI 54115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon Allen Dyrdahl Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315279809
PECOS Enrollment IDI20191104000008

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1680 MID VALLEY DR STE C
DE PERE, WI 54115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Dyrdahl's NPI number?

The NPI number for Brandon Dyrdahl is 1437714805. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Brandon Dyrdahl located?

Brandon Dyrdahl practices at 1680 Mid Valley Dr Ste C, De Pere, WI 54115. The listed phone number is (920) 658-5040.

What is Brandon Dyrdahl's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brandon Dyrdahl enrolled in Medicare?

Yes. Brandon Dyrdahl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandon Dyrdahl accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and UnitedHealthcare list Brandon Dyrdahl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Dyrdahl was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.