BEAR TOWN CHIROPRACTIC CLINIC, P.A.
NPI 1871530352
Chiropractor in White Bear Lake, MN

Active since June 01, 2006
2186 3RD ST, SUITE 104, WHITE BEAR LAKE, MN 55110(651) 429-1447(651) 429-5008 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bear Town Chiropractic Clinic, P.a. NPPES

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

BEAR TOWN CHIROPRACTIC CLINIC, P.A. (NPI 1871530352) is a healthcare organization registered as a chiropractor in White Bear Lake, Minnesota and active in the NPI registry since June 2006. The organization lists Russell Richard Heurung, President, as its authorized official.

NPPES Registry Identity

NPI1871530352
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBEAR TOWN CHIROPRACTIC CLINIC, P.A.
Location Address2186 3RD ST, SUITE 104White Bear Lake, MN 55110-3263
Mailing Address2186 3rd St, Suite 104White Bear Lake, MN 55110-3263 · (651) 429-1447 · Fax (651) 429-5008
Fax(651) 429-5008
Organization SubpartNo
Authorized OfficialRussell Richard HeurungPresident · (651) 429-1447
Enumeration DateJune 1, 2006
Last NPPES UpdateFebruary 10, 2010
✔ NPI 1871530352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3282
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.
2186 3RD ST, White Bear Lake, MN 55110

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)

Bear Town Chiropractic Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bear Town Chiropractic Clinic, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1699712083
2186 3RD ST SUITE 104
White Bear Lake, MN 55110
(651) 429-1447
✔ Accepts MedicareSame address

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 Bear Town Chiropractic Clinic, P.A.'s NPI number?

The NPI number for Bear Town Chiropractic Clinic, P.A. is 1871530352. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Bear Town Chiropractic Clinic, P.A. located?

Bear Town Chiropractic Clinic, P.A. is located at 2186 3rd St Suite 104, White Bear Lake, MN 55110. The listed phone number is (651) 429-1447.

What is Bear Town Chiropractic Clinic, P.A.'s specialty?

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

Is Bear Town Chiropractic Clinic, P.A. enrolled in Medicare?

Yes. Bear Town Chiropractic Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bear Town Chiropractic Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bear Town Chiropractic Clinic, P.A.. 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.

When was this NPI record last updated?

The NPPES record for Bear Town Chiropractic Clinic, P.A. was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.