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Active NPI 1114094182 Individual Practitioner Male Practitioner

Dr. Randall Edward Pederson , DC

Chiropractor • Glenwood, MN

Professional Overview & Biography Verified Profile Summary

Dr. Randall Pederson, DC is a registered healthcare professional specializing in Chiropractor in Glenwood, MN. Practice services are available at 131 MINNESOTA AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

131 Minnesota Ave E

Glenwood, MN 563341627

Telephone 3206344737
Fax 3206344737

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Glenwood, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Glenwood, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 1828

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Ipn
1C090PE (MN)
Commercial Insurance / Payer ID Bcbs Mpin
49316PE (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 131 MINNESOTA AVE E, GLENWOOD, MN 563341627 (Tel: 3206344737)

📍
Updated Business Mailing Address July 09, 2007

Registered at 131 MINNESOTA AVE E, GLENWOOD, MN 563341627 (Tel: 3206344737)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as RANDALL PEDERSON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Chiropractor (License #1828 in MN)

🟢
Initial NPI Registration & Enumeration November 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114094182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

131 Minnesota Ave E

Glenwood, MN 563341627

Phone: 3206344737

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.