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SOUTHWEST CHIROPRACTIC. LLC
NPI 1487864906
Chiropractor in Eden Prairie, MN

Active since May 23, 2007
7565 OFFICE RIDGE CIR, EDEN PRAIRIE, MN 55344(952) 943-1188(952) 943-1177 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southwest Chiropractic. Llc NPPES

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

SOUTHWEST CHIROPRACTIC. LLC (NPI 1487864906) is a healthcare organization registered as a chiropractor in Eden Prairie, Minnesota and active in the NPI registry since May 2007. The organization lists Bradley Dale Wildberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1487864906
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHWEST CHIROPRACTIC. LLC
Location Address7565 OFFICE RIDGE CIREden Prairie, MN 55344-3651
Mailing Address7565 Office Ridge CirEden Prairie, MN 55344-3651 · (952) 943-1188 · Fax (952) 943-1177
Phone(952) 943-1188
Fax(952) 943-1177
Organization SubpartNo
Authorized OfficialBradley Dale WildbergOwner · (715) 748-2334
Enumeration DateMay 23, 2007
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1487864906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 2103
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.
7565 OFFICE RIDGE CIR, Eden Prairie, MN 55344
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Other Identifiers 2

Other4477843MN · Health Services Mgmt, Inc
Other59878NOMN · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Chiropractic. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southwest Chiropractic. LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Bradley Wildberg, DC
Chiropractic
NPI 1528086311
333 N 8TH ST
Medford, WI 54451
(715) 748-2334
✔ Accepts Medicare153 mi
Tyler Lursen, DC
Chiropractic
NPI 1528670155
3240 15TH ST S STE C
Fargo, ND 58104
(701) 451-9070
✔ Accepts Medicare212 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southwest Chiropractic. LLC's NPI number?

The NPI number for Southwest Chiropractic. LLC is 1487864906. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Southwest Chiropractic. LLC located?

Southwest Chiropractic. LLC is located at 7565 Office Ridge Cir, Eden Prairie, MN 55344. The listed phone number is (952) 943-1188.

What is Southwest Chiropractic. LLC's specialty?

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

Is Southwest Chiropractic. LLC enrolled in Medicare?

Yes. Southwest Chiropractic. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Chiropractic. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Southwest Chiropractic. LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southwest Chiropractic. LLC accept?

Health plans from HealthPartners list Southwest Chiropractic. LLC 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 Southwest Chiropractic. LLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.