BERGREN FAMILY CHIROPRACTIC, PA
NPI 1558513879
Chiropractor in Bovey, MN

Active since October 17, 2008CLIA 24D2342669 · Waiver
41025 SCENIC HWY, BOVEY, MN 55709(218) 245-2176(218) 245-2676 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bergren Family Chiropractic, Pa NPPES

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

BERGREN FAMILY CHIROPRACTIC, PA (NPI 1558513879) is a healthcare organization registered as a chiropractor in Bovey, Minnesota and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists Jerrad James Bergren, Owner, as its authorized official.

NPPES Registry Identity

NPI1558513879
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBERGREN FAMILY CHIROPRACTIC, PA
Location Address41025 SCENIC HWYBovey, MN 55709-7062
Mailing Address41025 Scenic HwyBovey, MN 55709-7062 · (218) 245-2176 · Fax (218) 245-2676
Fax(218) 245-2676
Organization SubpartNo
Authorized OfficialJerrad James BergrenOwner · (218) 245-2176
Enumeration DateOctober 17, 2008
Last NPPES UpdateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1558513879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5131
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.
41025 SCENIC HWY, Bovey, MN 55709

Other Identifiers 1

Medicaid185417000MN

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bergren Family Chiropractic, Pa 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 Bergren Family Chiropractic, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1568123669
41025 SCENIC HWY
Bovey, MN 55709
(218) 245-2176
✔ Accepts MedicareSame address
Chiropractic
NPI 1285890731
23465 COUNTY ROAD 8
Bovey, MN 55709
(218) 245-2176
✔ Accepts Medicare8.7 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2342669

Bergren Family Chiropractic, PA · Bovey, MN
Active · expires Apr 22, 2028
CLIA Number24D2342669
Laboratory TypePractitioner Other
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorJerrad J. Bergren
Laboratory Phone(218) 245-2176
Laboratory LocationBergren Family Chiropractic, PA41025 Scenic Hwy, Bovey, MN 55709
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bergren Family Chiropractic, PA's NPI number?

The NPI number for Bergren Family Chiropractic, PA is 1558513879. It was assigned to this organization in the NPPES registry on October 17, 2008.

Where is Bergren Family Chiropractic, PA located?

Bergren Family Chiropractic, PA is located at 41025 Scenic Hwy, Bovey, MN 55709. The listed phone number is (218) 245-2176.

What is Bergren Family Chiropractic, PA's specialty?

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

Is Bergren Family Chiropractic, PA enrolled in Medicare?

Yes. Bergren Family Chiropractic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bergren Family Chiropractic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Bergren Family Chiropractic, PA. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bergren Family Chiropractic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2342669) is associated with this NPI, valid through April 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bergren Family Chiropractic, PA was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.