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BRENWYN ANNE LISA PEDDYCOART DC
NPI 1558401968
Chiropractor in White Bear Lake, MN

Active since February 07, 2007
1803 BUERKLE RD, SUITE 100, WHITE BEAR LAKE, MN 55110(651) 770-8424(651) 770-3170 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brenwyn Anne Lisa Peddycoart Dc NPPES

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

BRENWYN ANNE LISA PEDDYCOART DC (NPI 1558401968) is an individual chiropractor in White Bear Lake, Minnesota, licensed in Minnesota (3350) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1558401968
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameBRENWYN ANNE LISA PEDDYCOARTCredential: DC
Location Address1803 BUERKLE RD, SUITE 100White Bear Lake, MN 55110-5269
Mailing Address1803 Buerkle Rd, Suite 101White Bear Lake, MN 55110-5269 · (651) 770-8424 · Fax (651) 770-3170
Phone(651) 770-8424
Fax(651) 770-3170
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 27, 2010
✔ NPI 1558401968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3350
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.
1803 BUERKLE RD, White Bear Lake, MN 55110
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Other Identifiers 3

Other11F47PEBcbs
Medicare UPINU60253
Medicare ID-Type Unspecified200101209

Other Providers at the Same Location NPPES

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

PEDDYCOART CHIROPRACTIC INC.
Chiropractor
1803 BUERKLE RD, SUITE 101
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 770-8424

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 Brenwyn Peddycoart's NPI number?

The NPI number for Brenwyn Peddycoart is 1558401968. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Brenwyn Peddycoart located?

Brenwyn Peddycoart practices at 1803 Buerkle Rd Suite 100, White Bear Lake, MN 55110. The listed phone number is (651) 770-8424.

What is Brenwyn Peddycoart's specialty?

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

When was this NPI record last updated?

The NPPES record for Brenwyn Peddycoart was last updated on August 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.