Alexander C Burbach, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5476 Issued in WI

Practice address

5820 S Packard Ave
Cudahy, WI 53110-2616

Phone

(414) 416-2645

Fax

(949) 862-7648

NPI assigned

Dec 2, 2019

Last updated

Jan 3, 2022By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Networks

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

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1013554708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531102616",
            "telephone_number": "414-416-2645",
            "fax_number": "949-862-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531102616",
            "telephone_number": "414-416-2645",
            "fax_number": "949-862-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBACH",
        "first_name": "ALEXANDER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013554708",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Blunt, APNP
• Broadstep-Wisconsin, Inc.
• Thomas J Broihier, MD
• Hayley Lynn Bunger, NP
• Gina Buono, MD
• James Leonard Bykowski, D.C.
• Arminius Caldwell
• Frank A Caputo, D.D.S.
• Carbonelli Consultation
• Kimberly Carmichael, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.