Russell S. Derhak, D.C.
Chiropractor · Brooklyn Park, MN
Russell S. Derhak, D.C. is a chiropractor with a practice address in Brooklyn Park, Minnesota, and NPI 1194856583, issued on Mar 8, 2007. Check the license (Minnesota 4717, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Russell S. Derhak
- Credential
- D.C.
- Primary taxonomy
- Chiropractor 111N00000X
- License number
- 4717 MN
Self-reported in NPPES; status is on the state search - Practice location
- 4630 97TH Ave N, Brooklyn Park, MN 55443
- Phone
- (763) 486-3945
- Enumerated
- Mar 8, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (763) 425-2417
- Medicare enrollment
- Enrolled (PECOS I20070411000068); accepts Medicare assignment
- Medical or professional school
- Northwestern College Of Chiropractic, 2005
- Entity
- Type 1 · individual
8 nearest chiropractor records → All 3,377 in Minnesota → Look up another NPI →
Verify Russell S. Derhak in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 4717Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Russell S. Derhak among 3,377 chiropractor records in Minnesota
Russell S. Derhak, D.C. is one of 3,377 chiropractor records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 31% of them.
- NPI issued2007 · 31% of these records are older, 51% newer
- In a Medicare fileNo · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 45% of these records are
- Graduated2005 · median 2007 among the 1,518 with a school on file
- Record last updated2007 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 111N00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
26 chiropractor records list a practice address in Brooklyn Park
They are 26 of the 719 NPPES records with a practice address in Brooklyn Park, and 3,377 chiropractor records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3,377 in Minnesota → Every provider in Brooklyn Park → Chiropractor nationwide →
The 8 chiropractor records with the nearest ZIP codes
- Jordan Boekhout, D.C.Brooklyn Park, MN 554431184169005
- Chris Fokumlah, DCBrooklyn Park, MN 554431609005701
- Troy Friesen, D.C.Brooklyn Park, MN 554431366559379
- Andrew Globa, D.C.Brooklyn Park, MN 554431336479039
- Jeremy Lachinski, D.C.Brooklyn Park, MN 554431548375546
- Michael Mai, D.C.Brooklyn Park, MN 554431154552925
- Laura Patterson, D.C.Brooklyn Park, MN 554431124234190
- John Sampson, DCBrooklyn Park, MN 554431841317120
Common questions
What is Russell S. Derhak, D.C.'s NPI number?
Russell S. Derhak, D.C.'s National Provider Identifier (NPI) is 1194856583, issued on Mar 8, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Russell S. Derhak, D.C. located?
The NPPES record lists a practice address at 4630 97TH Ave N, Brooklyn Park, MN, 55443. Phone: (763) 486-3945. Providers update this record themselves, so call before visiting.
How can I verify Russell S. Derhak, D.C.'s license?
NPPES lists Minnesota license number 4717, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.