Individual provider Active NPI

Dean P. Brost, D.C.

  • Chiropractor
  • Medford, WI
National Provider Identifier
1053448597
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3158 Issued in WI
Practice address
1377 N 8TH St
Medford, WI 54451-1252
Phone
(715) 748-4343
Fax
(715) 748-1531
NPI assigned
Feb 28, 2007
Last updated
Jun 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3158 WI Primary

Addresses

Primary practice location

1377 N 8TH St
Medford, WI 54451-1252

Mailing address

1377 N 8TH St
Medford, WI 54451-1252
Phone (715) 748-4343

Other identifiers 1

IdentifierTypeStateIssuer
38885600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000092 WI Practitioner - Chiropractic 2769585074 Practice locations: Medford, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1377 N 8TH St
Medford, WI 54451-1252
Phone (715) 748-4343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1053448597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 N 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511252",
            "telephone_number": "715-748-4343",
            "fax_number": "715-748-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 N 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511252",
            "telephone_number": "715-748-4343",
            "fax_number": "715-748-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROST",
        "first_name": "DEAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38885600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.