Russell Derhak, D.C.
NPI 1194856583 · Chiropractor · Brooklyn Park, MN
Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russell Derhak, D.C. is a Chiropractor provider in Brooklyn Park, MN (NPI 1194856583).
Provider details
- NPI number
- 1194856583
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 4717 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Russell Derhak's NPI number?
- Russell Derhak's National Provider Identifier (NPI) is 1194856583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Derhak's specialty?
- Russell Derhak is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is Russell Derhak located?
- Russell Derhak's practice location on file with NPPES is 4630 97th Ave N, Brooklyn Park, MN 55443-4027.
- What is Russell Derhak's phone number?
- The practice phone number listed in the NPPES registry for Russell Derhak is (763) 486-3945.
- Does Russell Derhak accept Medicare?
- Russell Derhak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Russell Derhak's NPI active?
- Yes — Russell Derhak's NPI (1194856583) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.