Thomas F Burlage, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3522 Issued in WI

Practice address

801 N Main St
Suite I
Lodi, WI 53555-1279

Phone

(608) 592-1444

Fax

(608) 592-1445

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• IL PPO Downstate
• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burlage Chiropractic Wellness Center LLC

  • Chiropractor
  • Lodi, WI
  • NPI 1437223880
  Authorized official Same address or phone
• Chiro One Wellness Center of Madison West, LLC

  • Chiropractor
  • Madison, WI
  • NPI 1841857604
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1013081470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MAIN ST",
            "address_2": "SUITE I",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551279",
            "telephone_number": "608-592-1444",
            "fax_number": "608-592-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAIN ST",
            "address_2": "SUITE I",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551279",
            "telephone_number": "608-592-1444",
            "fax_number": "608-592-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLAGE",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38930100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3522",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "392029630016",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Lyn Bittner, D.C.
• Breunig Family Chiropractic LLC
• Jennifer A Breunig, D.C.
• Deborah Lynn Brock, PHD
• Burlage Chiropractic Wellness Center LLC
• Andrea M Chao, MD
• Joel Robert Cooper, D.C.
• Joel Patrick Crane, DDS
• Divine Rehabilitation and Nursing at Lodi LLC
• David J Eberdt, PA

• Chiropractor in Lodi, WI
• Providers in Lodi, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.