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DR. JERAD ROBERT BLUDORN DC
NPI 1629076435
Chiropractor in Lake Norden, SD

Active since July 14, 2005Accepts Medicare Assignment
505 MAIN AVE, LAKE NORDEN, SD 57248(605) 785-3900(605) 785-3908 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerad Robert Bludorn Dc NPPES

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

DR. JERAD ROBERT BLUDORN DC (NPI 1629076435) is an individual chiropractor in Lake Norden, South Dakota, licensed in South Dakota (1025) and active in the NPI registry since July 2005. He is a graduate of Northwestern College Of Chiropractic (2002).

NPPES Registry Identity

NPI1629076435
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERAD ROBERT BLUDORNCredential: DC
Location Address505 MAIN AVELake Norden, SD 57248-0252
Mailing Address505 Main Ave, Po Box 252Lake Norden, SD 57248-0252 · (605) 785-3900 · Fax (605) 785-3908
Phone(605) 785-3900
Fax(605) 785-3908
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2002
Enumeration DateJuly 14, 2005
Last NPPES UpdateNovember 17, 2011
✔ NPI 1629076435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SD · 1025
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.
505 MAIN AVE, Lake Norden, SD 57248
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Other Identifiers 4

Medicare ID-Type Unspecified100139
Medicare UPINU90863
Other4995423Bcbs
Medicaid7601960SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Providence Health Plan and more.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. Jerad Robert Bludorn 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 ID4880585280
PECOS Enrollment IDI20050209000793

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
311 services54 patients

Other Providers at the Same Location NPPES 2

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

JACKSON LOUIS SNELL
Chiropractor
505 MAIN AVE
LAKE NORDEN, SD 57248
Hamlin County (605) 785-3900
LAKE NORDEN FAMILY CHIROPRACTIC CENTER
Chiropractor
505 MAIN AVE
LAKE NORDEN, SD 57248
Hamlin County (605) 785-3900

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 Jerad Bludorn's NPI number?

The NPI number for Jerad Bludorn is 1629076435. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Jerad Bludorn located?

Jerad Bludorn practices at 505 Main Ave, Lake Norden, SD 57248. The listed phone number is (605) 785-3900.

What is Jerad Bludorn's specialty?

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

Is Jerad Bludorn enrolled in Medicare?

Yes. Jerad Bludorn 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 Jerad Bludorn accept?

Health plans from Avera Health Plans, Medica, Providence Health Plan and Sanford Health Plan list Jerad Bludorn 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 Jerad Bludorn was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.