Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578797221 Individual Practitioner Male Practitioner

Dr. Kenneth G Ericksen , DC

Chiropractor • Broken Bow, OK

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Ericksen, DC is a registered healthcare professional specializing in Chiropractor in Broken Bow, OK. Practice services are available at 1605 S PARK DR under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1605 S Park Dr

Broken Bow, OK 74728

Telephone 5805843385
Fax 5805845454
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Broken Bow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Broken Bow, OK (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
9.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
252 36 $33.00 $27.19
98941 Chiropractic manipulative treatment, 3-4 spinal regions
175 30 $35.00 $34.56

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OK 4300

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License TX 11181

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.

Secondary Practice Locations

26743 Us Highway 380 E, Ste 100

Aubrey, TX 762278308

Phone: 9723473400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1215396874

Doctor of Chiropractic

NPI 1649227851

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location November 07, 2018

Registered at 1605 S PARK DR, BROKEN BOW, OK 74728 (Tel: 5805843385)

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2016

Registered at 26743 US HIGHWAY 380 E, STE 100, AUBREY, TX 762278308 (Tel: 9723473400)

📍
Updated Business Mailing Address November 30, 2016

Registered at 26743 US HIGHWAY 380 E, STE 100, AUBREY, TX 762278308 (Tel: 9723473400)

👤
Provider Name / Credentials Updated November 30, 2016

Recorded as KENNETH ERICKSEN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Chiropractor (License #11181 in TX)

🟢
Initial NPI Registration & Enumeration May 11, 2009

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: 1578797221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2009
Last Update: November 07, 2018
Sole Proprietor: No

Mailing Address

26743 Us Highway 380 E, Ste 100

Aubrey, TX 762278308

Phone: 9723473400

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.