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

Dr. Russell S Derhak, DC

Individual provider Chiropractor · NPI 1194856583

Dr. Russell S Derhak, DC is a Chiropractic in Brooklyn Park, Minnesota. Graduated from Northwestern College of Chiropractic in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4630 97th Ave N
Brooklyn Park, MN 55443-4027
Phone: (763) 486-3945
Fax: (763) 425-2417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4717 (MN)

Record details

NPI number1194856583
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4630 97th Ave N, Brooklyn Park, MN 55443-4027

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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