MEDICARE: DR. BRENT THOMAS MADAY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4725	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8773740	OTHER	MN	MINN TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194841726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENT THOMAS MADAY D.C.

Provider Business Mailing Address
First Line	:	2302 DEERWOOD LN SE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55904-8612
Country	:	US
Telephone Number	:	507-206-0360
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 BROADWAY AVE S STE 70
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55904-3862
Country	:	US
Telephone Number	:	507-424-3226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	05/06/2026

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