Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brent Edwin Tieri, DC

Individual provider Chiropractor · NPI 1902116411

Dr. Brent Edwin Tieri, DC is a Chiropractic in Maple Grove, Minnesota. Graduated from Northwestern College of Chiropractic in 2009, 17 years ago. Licensed in Minnesota.

Years since qualifying
17
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

13324 Bass Lake Rd
Maple Grove, MN 55311-4540
Phone: (763) 568-7869
Fax: (763) 568-7872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5351 (MN)

Record details

NPI number1902116411
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedOctober 18, 2010
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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